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Washington rates for HCPCS D5410

Adjust Complete Denture - Maxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.46 / $39.46 / $39.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $32.64 / $39.46
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $183.45 / $183.45
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $209.82 / $297.30
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.97 / $62.36 / $79.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.34 / $62.36 / $82.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.88 / $66.19 / $68.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.38 / $71.25 / $71.25