| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.02 | $0.03 | $1.00 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
Unspecified Periodontal Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.02 | $0.03 | $1.00 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |