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California rates for HCPCS D5730

Reline Complete Maxillary Denture (Direct)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.00 / $140.91 / $140.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.33 / $132.00 / $143.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.22 / $158.32 / $161.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.50 / $175.00 / $347.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.49 / $919.62 / $919.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.33 / $1,009.33 / $1,462.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.91 / $203.39 / $279.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.06 / $179.32 / $2,400,000.00