| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.75 | $116.75 | $116.75 | |
Aetna
| Professional | $73.12 | $116.75 | $223.08 | |
BCBS
| Professional | $120.02 | $120.92 | $142.26 | |
Medica
| Facility | $53.40 | $116.75 | $350.25 |
Placement Of Device To Facilitate Eruption Of Impacted Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.75 | $116.75 | $116.75 | |
Aetna
| Professional | $73.12 | $116.75 | $223.08 | |
BCBS
| Professional | $120.02 | $120.92 | $142.26 | |
Medica
| Facility | $53.40 | $116.75 | $350.25 |