| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $545.25 | $4,450.00 | $8,031.00 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,432.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |
Excision of mucosa of vestibule of mouth as donor graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $545.25 | $4,450.00 | $8,031.00 | |
Anthem BCBS
| Facility | $5,410.00 | $6,763.00 | $10,432.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |