| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.88 | $39.88 | $44.47 | |
Aetna
| Professional | $37.92 | $39.88 | $40.29 | |
Anthem BCBS
| Professional | $61.00 | $61.00 | $70.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.88 | $39.88 | $44.47 | |
Aetna
| Professional | $37.92 | $39.88 | $40.29 | |
Anthem BCBS
| Professional | $61.00 | $61.00 | $70.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |