| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $37.02 | $47.86 | $47.86 | |
BCBS
| Facility | $409.34 | $496.75 | $668.29 | |
BCBS
| Professional | $60.00 | $60.00 | $60.00 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $37.02 | $47.86 | $47.86 | |
BCBS
| Facility | $409.34 | $496.75 | $668.29 | |
BCBS
| Professional | $60.00 | $60.00 | $60.00 |