| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.77 | $288.77 | $288.87 | |
Anthem BCBS
| Professional | $269.97 | $308.00 | $382.95 | |
Harvard Pilgrim
| Professional | $371.21 | $371.21 | $371.21 |
Occlusal Adjustment - Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.77 | $288.77 | $288.87 | |
Anthem BCBS
| Professional | $269.97 | $308.00 | $382.95 | |
Harvard Pilgrim
| Professional | $371.21 | $371.21 | $371.21 |