| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.65 | $154.13 | $184.22 | |
Aetna
| Professional | $136.65 | $154.13 | $184.22 | |
BCBS
| Professional | $223.33 | $257.00 | $262.14 |
Bone Replacement Graft - Retained Natural Tooth - Each Additional Site In Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.65 | $154.13 | $184.22 | |
Aetna
| Professional | $136.65 | $154.13 | $184.22 | |
BCBS
| Professional | $223.33 | $257.00 | $262.14 |