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Illinois rates for HCPCS D6930

Re-Cement Or Re-Bond Fixed Partial Denture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $42.66 / $60.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $208.93
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81