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South Carolina rates for HCPCS D5410

Adjust Complete Denture - Maxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.73 / $29.73 / $29.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.73 / $29.73 / $32.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $32.90 / $53.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00