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Massachusetts rates for HCPCS D5730

Reline Complete Maxillary Denture (Direct)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.55 / $171.55 / $171.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.21 / $171.55 / $301.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.98 / $427.31 / $919.62
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.49 / $318.52 / $1,009.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.30 / $230.30 / $270.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.72 / $378.04 / $445.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.98 / $309.98 / $919.62
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.33 / $1,009.33 / $1,009.33