| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.73 | $29.73 | $29.73 | |
Aetna
| Professional | $29.73 | $29.73 | $32.90 | |
Medcost
| Facility | $27.78 | $32.90 | $53.87 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Adjust Complete Denture - Maxillary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.73 | $29.73 | $29.73 | |
Aetna
| Professional | $29.73 | $29.73 | $32.90 | |
Medcost
| Facility | $27.78 | $32.90 | $53.87 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |