Topical fluoride varnish application

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Topical Fluoride Varnish Appl

Payers reporting CPT 99188

Payer pricing summary

Low

Average

$3.9k

Median

$59

High

$73.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +27 other terms	116	$12	$41	$244	591%	1–10	$2 – $3.8k
2	Carefirst professional · fee schedule · both · +3 other terms	4	$16	$16	$4	27%	1–10	$8 – $20
3	Premera professional · fee schedule · both · +6 other terms	2	$19	$19	$1	4%	1–10	$19 – $20
4	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	128	$33	$48	$103	214%	—	$0 – $1.4k
5	Humana fee schedule · outpatient · +21 other terms	117	$12	$23	$32	135%	—	$8 – $194
6	Aetna fee schedule · outpatient · +25 other terms	90	$12	$359	$1.4k	379%	—	$7 – $8.4k
7	Anthem fee schedule · outpatient · +21 other terms	69	$12	$38	$158	416%	—	$5 – $2.3k
8	Cigna fee schedule · outpatient · +22 other terms	51	$13	$18	$12	67%	—	$11 – $99
9	Molina facility · case rate · outpatient · +24 other terms	37	$103	$399	$473	118%	—	$6 – $1.6k
10	Kaiser fee schedule · outpatient · +14 other terms	34	$12	$47	$96	204%	—	$12 – $523
11	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$42	$38	$14	37%	—	$12 – $70
12	Devoted fee schedule · outpatient · +9 other terms	23	$12	$25	$63	249%	—	$11 – $319
13	Caresource facility · case rate · outpatient · +10 other terms	20	$883	$721	$485	67%	—	$11 – $1.6k
14	Optum professional · fee schedule · outpatient · +10 other terms	20	$12	$14	$6	40%	—	$8 – $28
15	Medicare fee schedule · outpatient · +4 other terms	18	$12	$12	—	—	—	$12 – $12
16	Medica professional · fee schedule · outpatient · +13 other terms	17	$13	$14	$5	39%	—	$8 – $45
17	Highmark fee schedule · outpatient · +9 other terms	15	$10	$13	$16	122%	—	$7 – $170
18	Regence fee schedule · outpatient · +9 other terms	15	$13	$23	$41	176%	—	$10 – $298
19	Aetna Better Health fee schedule · outpatient · +11 other terms	14	$10	$75	$119	158%	—	$10 – $352
20	Ucare professional · fee schedule · outpatient · +9 other terms	14	$12	$12	$1	12%	—	$7 – $13
21	WellCare case rate · outpatient · +13 other terms	14	$12	$12	$1	6%	—	$11 – $13
22	Wellmark fee schedule · both · +12 other terms	13	$19	$19	$1	8%	—	$18 – $22
23	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$68	$50	$30	59%	—	$10 – $85
24	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$11	$11	—	—	—	$11 – $11
25	First Health professional · fee schedule · both · +15 other terms	12	$9	$15	$20	132%	—	$1 – $67

Page 1 of 3 · 53 payers