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Wisconsin rates for HCPCS D6930

Recement Fixed Partial Denture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $35.11 / $35.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $38.54 / $71.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.17 / $103.72 / $213.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $49.30 / $88.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.86 / $38.86 / $38.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $49.30 / $88.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.44 / $300.23 / $300.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $191.92
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $49.30 / $88.32
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.86 / $38.86 / $38.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.74 / $109.64 / $157.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.97 / $247.97 / $247.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.26 / $248.25 / $300.23