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Missouri rates for HCPCS D5730

Reline Complete Maxillary Denture (Direct)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.94 / $196.74 / $196.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.81 / $159.94 / $196.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.37 / $153.28 / $217.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.26 / $141.26 / $141.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.06 / $206.58 / $449.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.33 / $1,009.33 / $1,009.33