| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $375.01 | $421.31 | $421.31 | |
Providence
| Facility | $388.91 | $850.08 | $850.08 | |
Providence
| Professional | $375.58 | $563.42 | $859.65 |
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 | $375.01 | $421.31 | $421.31 | |
Providence
| Facility | $388.91 | $850.08 | $850.08 | |
Providence
| Professional | $375.58 | $563.42 | $859.65 |