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New York rates for HCPCS D5730

Reline Complete Maxillary Denture Direct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.95 / $92.21 / $131.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $119.31 / $175.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.11 / $150.41 / $281.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.25 / $250.68 / $250.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $597.00 / $597.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $55.00 / $115.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.27 / $163.27 / $163.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.27 / $250.68 / $250.68