| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $263.03 | $269.15 | |
Aetna
| Professional | $239.88 | $263.03 | $346.74 | |
BCBS
| Professional | $398.11 | $446.68 | $537.03 | |
Medica
| Facility | $263.03 | $331.13 | $794.33 |
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 | $263.03 | $263.03 | $269.15 | |
Aetna
| Professional | $239.88 | $263.03 | $346.74 | |
BCBS
| Professional | $398.11 | $446.68 | $537.03 | |
Medica
| Facility | $263.03 | $331.13 | $794.33 |