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Wisconsin rates for HCPCS D5730

Reline Complete Maxillary Denture Direct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.52 / $130.52 / $130.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.52 / $143.13 / $171.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.22 / $300.11 / $627.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.52 / $158.30 / $328.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.73 / $92.73 / $92.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.52 / $158.30 / $328.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.37 / $1,009.33 / $1,009.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $457.85
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.52 / $158.30 / $328.31
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.73 / $92.73 / $92.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.78 / $407.02 / $585.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.62 / $919.62 / $919.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.19 / $1,009.33 / $1,009.33