| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $627.20 | $1,091.40 | $1,993.39 |
Aetna
| Professional | QZ | $620.25 | $620.25 | $620.25 |
HMSA
| Professional | QZ | $3.72 | $4.18 | $4.38 |
Anesthesia for intraoral procedures, including biopsy; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $627.20 | $1,091.40 | $1,993.39 |
Aetna
| Professional | QZ | $620.25 | $620.25 | $620.25 |
HMSA
| Professional | QZ | $3.72 | $4.18 | $4.38 |