| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $300.10 | $649.54 | $665.16 | |
Anthem BCBS
| Professional | $639.52 | $709.86 | $909.43 | |
Harvard Pilgrim
| Professional | $759.72 | $1,314.16 | $2,344.88 |
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 | $649.54 | $665.16 | |
Anthem BCBS
| Professional | $639.52 | $709.86 | $909.43 | |
Harvard Pilgrim
| Professional | $759.72 | $1,314.16 | $2,344.88 |