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North Carolina rates for HCPCS D5730

Reline Complete Maxillary Denture (Direct)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.24 / $158.24 / $158.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.88 / $158.24 / $158.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.56 / $194.90 / $316.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.00 / $158.24 / $237.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.17 / $115.17 / $115.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $145.00 / $228.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.49 / $919.62 / $919.62
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.33 / $1,009.33 / $1,462.20