| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.68 | $134.81 | $153.21 | |
BCBS
| Professional | $73.20 | $97.60 | $122.00 | |
Medica
| Facility | $101.26 | $153.19 | $292.54 | |
Medica
| Professional | $902.23 | $902.23 | $902.23 |
Alveoloplasty In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces, Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.68 | $134.81 | $153.21 | |
BCBS
| Professional | $73.20 | $97.60 | $122.00 | |
Medica
| Facility | $101.26 | $153.19 | $292.54 | |
Medica
| Professional | $902.23 | $902.23 | $902.23 |