| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.06 | $122.34 | $122.34 | |
Anthem BCBS
| Professional | $82.00 | $123.04 | $168.02 | |
Harvard Pilgrim
| Professional | $139.94 | $277.61 | $460.98 |
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 | $120.06 | $122.34 | $122.34 | |
Anthem BCBS
| Professional | $82.00 | $123.04 | $168.02 | |
Harvard Pilgrim
| Professional | $139.94 | $277.61 | $460.98 |