| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.28 | $58.61 | $73.09 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |
Full Mouth Debridement To Enable A Comprehensive Periodontal Evaluation And Diagnosis On A Subsequent Visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.28 | $58.61 | $73.09 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |