| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $300.10 | $336.55 | $509.69 | |
Medica
| Facility | $309.10 | $448.75 | $668.40 | |
Medica
| Professional | $2,436.69 | $2,436.69 | $2,436.69 |
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
| Professional | $300.10 | $336.55 | $509.69 | |
Medica
| Facility | $309.10 | $448.75 | $668.40 | |
Medica
| Professional | $2,436.69 | $2,436.69 | $2,436.69 |