| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $610.83 | $610.83 | $610.83 | |
Aetna
| Professional | $363.12 | $610.83 | $610.83 | |
Anthem BCBS
| Professional | $320.45 | $441.60 | $819.82 |
Osseous Surgery (Including Elevation Of A Full Thickness Flap And Closure) - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $610.83 | $610.83 | $610.83 | |
Aetna
| Professional | $363.12 | $610.83 | $610.83 | |
Anthem BCBS
| Professional | $320.45 | $441.60 | $819.82 |