| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.40 | $118.47 | $118.47 | |
Anthem BCBS
| Professional | $114.66 | $143.00 | $162.41 | |
Harvard Pilgrim
| Professional | $135.94 | $269.68 | $447.80 |
Bone Replcmt Graft Ridge Preservation Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.40 | $118.47 | $118.47 | |
Anthem BCBS
| Professional | $114.66 | $143.00 | $162.41 | |
Harvard Pilgrim
| Professional | $135.94 | $269.68 | $447.80 |