| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.50 | $104.50 | $104.50 | |
Aetna
| Professional | $93.21 | $104.50 | $117.18 | |
BCBS
| Professional | $229.71 | $231.44 | $272.27 | |
Medica
| Facility | $93.99 | $104.50 | $313.50 |
Extraction, Erupted Tooth Requiring Removal Of Bone And/Or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.50 | $104.50 | $104.50 | |
Aetna
| Professional | $93.21 | $104.50 | $117.18 | |
BCBS
| Professional | $229.71 | $231.44 | $272.27 | |
Medica
| Facility | $93.99 | $104.50 | $313.50 |