| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $239.88 | $354.81 | |
Anthem BCBS
| Professional | $346.74 | $380.19 | $501.19 | |
Harvard Pilgrim
| Professional | $407.38 | $660.69 | $1,047.13 |
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
| Professional | $186.21 | $239.88 | $354.81 | |
Anthem BCBS
| Professional | $346.74 | $380.19 | $501.19 | |
Harvard Pilgrim
| Professional | $407.38 | $660.69 | $1,047.13 |