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Virginia rates for HCPCS D5730

Reline Complete Maxillary Denture (Direct)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.46 / $144.46 / $153.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.32 / $144.46 / $153.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.50 / $166.50 / $220.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $201.60 / $351.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.84 / $194.21 / $239.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.04 / $153.83 / $258.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.15 / $289.00 / $399.53
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.89 / $163.60 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.89 / $163.60 / $9,929.00