| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,042.95 | $2,768.73 | $5,197.60 | |
Medica
| Professional | $77.40 | $77.40 | $77.40 | |
Midlands
| Facility | $97.52 | $97.52 | $97.52 | |
Midlands
| Professional | $97.52 | $97.52 | $97.52 |
Unspecified Periodontal Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,042.95 | $2,768.73 | $5,197.60 | |
Medica
| Professional | $77.40 | $77.40 | $77.40 | |
Midlands
| Facility | $97.52 | $97.52 | $97.52 | |
Midlands
| Professional | $97.52 | $97.52 | $97.52 |