| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $39.81 | |
Aetna
| Professional | $34.67 | $40.74 | $53.70 | |
Medcost
| Facility | $39.81 | $58.88 | $97.72 | |
Molina
| Professional | $30.20 | $54.95 | $54.95 |
Re-Cement Or Re-Bond Fixed Partial Denture
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $39.81 | |
Aetna
| Professional | $34.67 | $40.74 | $53.70 | |
Medcost
| Facility | $39.81 | $58.88 | $97.72 | |
Molina
| Professional | $30.20 | $54.95 | $54.95 |