| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.17 | $61.17 | $61.21 | |
Anthem BCBS
| Professional | $57.10 | $61.00 | $81.20 | |
Harvard Pilgrim
| Professional | $371.21 | $371.21 | $371.21 |
Occlusal Adjustment - Limited
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.17 | $61.17 | $61.21 | |
Anthem BCBS
| Professional | $57.10 | $61.00 | $81.20 | |
Harvard Pilgrim
| Professional | $371.21 | $371.21 | $371.21 |