| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.15 | $410.40 | $438.82 | |
Moda Health
| Facility | $52.13 | $438.82 | $561.69 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |
Bone Replacement Graft For Ridge Preservation - Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.15 | $410.40 | $438.82 | |
Moda Health
| Facility | $52.13 | $438.82 | $561.69 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |