| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.02 | $181.02 | $181.02 | |
Aetna
| Professional | $128.91 | $181.02 | $181.02 | |
BCBS
| Facility | $409.34 | $496.75 | $668.29 | |
BCBS
| Professional | $293.00 | $293.00 | $293.00 |
Occlusal Adjustment - Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.02 | $181.02 | $181.02 | |
Aetna
| Professional | $128.91 | $181.02 | $181.02 | |
BCBS
| Facility | $409.34 | $496.75 | $668.29 | |
BCBS
| Professional | $293.00 | $293.00 | $293.00 |