| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.72 | $407.72 | $407.72 | |
Aetna
| Professional | $355.87 | $407.72 | $407.72 | |
BCBS
| Professional | $586.07 | $590.46 | $694.66 | |
Medica
| Facility | $407.72 | $416.65 | $1,223.16 |
Autogenous Connective Tissue Graft Procedure (Including Donor And Recipient Surgical Sites) First Tooth, Implant, Or Edentulous Tooth Position In Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.72 | $407.72 | $407.72 | |
Aetna
| Professional | $355.87 | $407.72 | $407.72 | |
BCBS
| Professional | $586.07 | $590.46 | $694.66 | |
Medica
| Facility | $407.72 | $416.65 | $1,223.16 |