| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $223.87 | |
Aetna
| Professional | $162.18 | $186.21 | $223.87 | |
BCBS
| Professional | $169.82 | $194.98 | $229.09 | |
Medica
| Facility | $165.96 | $257.04 | $489.78 |
Alveoloplasty Not 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 | $162.18 | $162.18 | $223.87 | |
Aetna
| Professional | $162.18 | $186.21 | $223.87 | |
BCBS
| Professional | $169.82 | $194.98 | $229.09 | |
Medica
| Facility | $165.96 | $257.04 | $489.78 |