| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $79.43 | |
Aetna
| Professional | $79.43 | $79.43 | $438.82 | |
Molina
| Professional | $45.00 | $45.00 | $399.46 |
Bone Replcmt Graft Ridge Preservation Per Site
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $79.43 | |
Aetna
| Professional | $79.43 | $79.43 | $438.82 | |
Molina
| Professional | $45.00 | $45.00 | $399.46 |