| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $154.88 | $616.60 | $1,412.54 | |
Qualchoice
| Facility | $131.83 | $707.95 | $1,548.82 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $154.88 | $616.60 | $1,412.54 | |
Qualchoice
| Facility | $131.83 | $707.95 | $1,548.82 |