| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.12 | $79.59 | $87.54 | |
Providence
| Facility | $135.36 | $135.36 | $135.36 | |
Providence
| Professional | $187.31 | $280.99 | $405.30 |
Placement Of Device To Facilitate Eruption Of Impacted Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.12 | $79.59 | $87.54 | |
Providence
| Facility | $135.36 | $135.36 | $135.36 | |
Providence
| Professional | $187.31 | $280.99 | $405.30 |