| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $38.90 | $46.77 | |
BCBS
| Facility | $426.58 | $501.19 | $676.08 | |
BCBS
| Professional | $60.26 | $60.26 | $60.26 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $38.90 | $46.77 | |
BCBS
| Facility | $426.58 | $501.19 | $676.08 | |
BCBS
| Professional | $60.26 | $60.26 | $60.26 |