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Indiana rates for HCPCS D5730

Reline Complete Maxillary Denture (Direct)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.23 / $119.23 / $119.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.23 / $138.06 / $162.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.00 / $169.00 / $326.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.00 / $169.00 / $239.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.12 / $144.12 / $144.12