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Illinois rates for HCPCS D5410

Adjust Complete Denture - Maxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.52 / $27.52 / $27.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $29.69 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.24 / $34.24 / $34.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $105.69 / $125.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $2,500.00 / $2,500.00