| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,860.27 | $1,860.27 | $1,860.27 | |
Medcost
| Facility | $158.34 | $158.34 | $1,000.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Unspecified Fixed Prosthodontic Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,860.27 | $1,860.27 | $1,860.27 | |
Medcost
| Facility | $158.34 | $158.34 | $1,000.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |