| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.18 | $221.18 | $221.18 | |
Aetna
| Professional | $73.12 | $221.18 | $232.23 | |
BCBS
| Facility | $2,559.86 | $3,106.51 | $4,179.26 | |
BCBS
| Professional | $81.00 | $81.00 | $81.00 |
Plcmt Device Facilitate Eruption Impacted Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.18 | $221.18 | $221.18 | |
Aetna
| Professional | $73.12 | $221.18 | $232.23 | |
BCBS
| Facility | $2,559.86 | $3,106.51 | $4,179.26 | |
BCBS
| Professional | $81.00 | $81.00 | $81.00 |