| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.12 | $102.46 | $105.66 | |
Anthem BCBS
| Professional | $100.95 | $122.00 | $143.52 | |
Harvard Pilgrim
| Professional | $119.94 | $237.94 | $395.09 |
Placement Of Device To Facilitate Eruption Of Impacted Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.12 | $102.46 | $105.66 | |
Anthem BCBS
| Professional | $100.95 | $122.00 | $143.52 | |
Harvard Pilgrim
| Professional | $119.94 | $237.94 | $395.09 |