| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.07 | $82.07 | $82.07 | |
Aetna
| Professional | $82.07 | $82.07 | $153.21 | |
Molina
| Professional | $45.00 | $45.00 | $118.59 |
Alveoloplsty Conjnc Xtract 1-3 Teeth/Spaces Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.07 | $82.07 | $82.07 | |
Aetna
| Professional | $82.07 | $82.07 | $153.21 | |
Molina
| Professional | $45.00 | $45.00 | $118.59 |