| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.92 | $107.92 | $107.92 | |
Aetna
| Professional | $107.92 | $107.92 | $155.10 | |
BCBS
| Professional | $138.61 | $139.65 | $164.29 | |
Medica
| Facility | $84.93 | $107.92 | $323.76 |
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
| Facility | $107.92 | $107.92 | $107.92 | |
Aetna
| Professional | $107.92 | $107.92 | $155.10 | |
BCBS
| Professional | $138.61 | $139.65 | $164.29 | |
Medica
| Facility | $84.93 | $107.92 | $323.76 |