| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.67 | $365.67 | $365.67 | |
Aetna
| Professional | $89.23 | $98.15 | $405.82 | |
Molina
| Professional | $60.00 | $85.00 | $1,500.00 | |
Providence
| Facility | $67.31 | $67.31 | $78.05 |
Bone Replacement Graft For Ridge Preservation - Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.67 | $365.67 | $365.67 | |
Aetna
| Professional | $89.23 | $98.15 | $405.82 | |
Molina
| Professional | $60.00 | $85.00 | $1,500.00 | |
Providence
| Facility | $67.31 | $67.31 | $78.05 |