| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.83 | $257.83 | $257.83 | |
Aetna
| Professional | $257.83 | $322.57 | $1,137.96 |
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 | $257.83 | $257.83 | $257.83 | |
Aetna
| Professional | $257.83 | $322.57 | $1,137.96 |