| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.04 | $214.04 | $214.04 | |
Aetna
| Professional | $89.23 | $214.04 | $557.08 | |
Medica
| Facility | $61.08 | $214.04 | $806.39 |
Bone Replacement Graft For Ridge Preservation - Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.04 | $214.04 | $214.04 | |
Aetna
| Professional | $89.23 | $214.04 | $557.08 | |
Medica
| Facility | $61.08 | $214.04 | $806.39 |