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Utah rates for HCPCS D5730

Reline Complete Maxillary Denture (Direct)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.51 / $117.51 / $117.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.51 / $117.51 / $182.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $168.53