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New Mexico rates for HCPCS D5730

Reline Complete Maxillary Denture (Direct)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.16 / $128.16 / $128.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.81 / $132.00 / $142.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.98 / $135.93 / $167.77