| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $44.67 | $53.70 | $72.44 | |
BCBS
| Professional | $141.25 | $141.25 | $724.44 | |
Molina
| Professional | $19.95 | $25.12 | $58.88 |
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
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $44.67 | $53.70 | $72.44 | |
BCBS
| Professional | $141.25 | $141.25 | $724.44 | |
Molina
| Professional | $19.95 | $25.12 | $58.88 |