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Massachusetts rates for HCPCS D5410

Adjust Complete Denture - Maxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.96 / $40.74 / $71.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.94 / $113.54 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $75.47 / $209.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $46.00 / $54.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.98 / $90.37 / $106.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.94 / $61.94 / $183.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.82 / $209.82 / $209.82