We will always do our best to give you an accurate quote prior to your next appointment. The quote is based on any prior knowledge that we have regarding your treatment need and any insurance coverage that you have. There may be instances where the treatment needs change or there are changes in insurance coverage, so the actual fee may vary. In questionable situations where insurance is involved (particularly with large cases), we may need to send a prior authorization request to your insurance so that we will be able to give you the most accurate quote. Remember, if your insurance coverage changes, let us know as soon as possible so that we can calculate your cost accurately!