| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $389.05 | $1,071.52 | $1,995.26 | |
Oscar Health
| Facility | $8,317.64 | $8,317.64 | $18,197.01 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $389.05 | $1,071.52 | $1,995.26 | |
Oscar Health
| Facility | $8,317.64 | $8,317.64 | $18,197.01 |