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Pennsylvania rates for HCPCS D5410

Adjust Complete Denture - Maxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $30.62 / $30.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.23 / $30.23 / $31.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.64 / $30.76 / $30.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.62 / $30.62 / $30.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.23 / $30.23 / $31.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $50.40