| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.68 | $59.63 | $68.52 | |
BCBS
| Professional | $149.00 | $149.00 | $149.00 |
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 | $49.68 | $59.63 | $68.52 | |
BCBS
| Professional | $149.00 | $149.00 | $149.00 |