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Oklahoma rates for HCPCS D5730

Reline Complete Maxillary Denture (Direct)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.09 / $131.09 / $131.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.09 / $131.09 / $132.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.93 / $139.27 / $196.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.93 / $240.44 / $1,009.33