| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.59 | $186.98 | $216.68 | |
Medica
| Facility | $76.70 | $213.25 | $420.68 | |
Medica
| Professional | $1,283.58 | $1,283.58 | $1,283.58 |
Placement Of Device To Facilitate Eruption Of Impacted Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.59 | $186.98 | $216.68 | |
Medica
| Facility | $76.70 | $213.25 | $420.68 | |
Medica
| Professional | $1,283.58 | $1,283.58 | $1,283.58 |