| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.09 | $469.09 | $469.09 | |
Aetna
| Professional | $312.16 | $427.56 | $469.09 |
Osseous Surgery (Including Elevation Of A Full Thickness Flap And Closure) - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.09 | $469.09 | $469.09 | |
Aetna
| Professional | $312.16 | $427.56 | $469.09 |