| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.20 | $48.29 | $68.19 | |
BCBS
| Professional | $72.00 | $72.00 | $72.00 | |
Medica
| Facility | $47.73 | $51.16 | $91.84 | |
Medica
| Professional | $55.14 | $102.73 | $367.45 |
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 | $46.20 | $48.29 | $68.19 | |
BCBS
| Professional | $72.00 | $72.00 | $72.00 | |
Medica
| Facility | $47.73 | $51.16 | $91.84 | |
Medica
| Professional | $55.14 | $102.73 | $367.45 |