| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $970.23 | $8,965.00 | |
Anthem BCBS
| Facility | $1,223.09 | $1,359.00 | $3,300.00 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |
Excision of mucosa of vestibule of mouth as donor graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $970.23 | $8,965.00 | |
Anthem BCBS
| Facility | $1,223.09 | $1,359.00 | $3,300.00 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |