| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.65 | $24.65 | $43.05 | |
Aetna
| Professional | $24.65 | $39.13 | $43.05 | |
BCBS
| Professional | $40.00 | $40.00 | $40.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.65 | $24.65 | $43.05 | |
Aetna
| Professional | $24.65 | $39.13 | $43.05 | |
BCBS
| Professional | $40.00 | $40.00 | $40.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |