go back

Michigan rates for HCPCS D5730

Reline Complete Maxillary Denture (Direct)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.41 / $152.41 / $152.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.51 / $152.41 / $152.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.26 / $141.26 / $153.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.41 / $152.41 / $152.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.52 / $152.41 / $152.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $382.66 / $382.66