ARTIFICIAL SALIVA

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.

Generation details were not recorded for this description.

Original text from hospital filings

Artificial saliva

Payers reporting HCPCS A9155

Payer pricing summary

Low

Average

$81

Median

$21

High

$1.2k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	93	$1	$32	$422	1303%	—	$0 – $7.2k
2	Cigna fee schedule · outpatient · +12 other terms	71	$14	$17	$6	34%	—	$8 – $45
3	Aetna fee schedule · outpatient · +12 other terms	65	$13	$18	$10	59%	—	$7 – $80
4	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$1	$1	$0	33%	—	$0 – $2
5	UnitedHealthcare fee schedule · both · +12 other terms	25	$8	$9	$2	21%	—	$7 – $16
6	Anthem facility · fee schedule · outpatient · +8 other terms	23	$19	$3.2k	$5.1k	162%	—	$8 – $13.1k
7	Caresource facility · case rate · outpatient · +2 other terms	15	$16	$17	$4	23%	—	$10 – $27
8	Molina facility · case rate · outpatient · +3 other terms	15	$15	$17	$4	23%	—	$11 – $26
9	Highmark facility · fee schedule · outpatient · +3 other terms	14	$2	$2	$2	84%	—	$1 – $10
10	Wellmark fee schedule · both · +1 other terms	13	$3	$3	—	—	—	$3 – $3
11	Bcbs Nj fee schedule · outpatient	12	$8	$8	—	—	—	$8 – $8
12	Optum facility · case rate · outpatient · +3 other terms	11	$14	$16	$4	22%	—	$13 – $24
13	Medica fee schedule · outpatient · +4 other terms	10	$20	$20	$5	25%	—	$12 – $26
14	Premera fee schedule · outpatient · +2 other terms	9	$21	$19	$4	23%	—	$14 – $26
15	Ucare fee schedule · both · +1 other terms	9	$4	$4	$0	3%	—	$4 – $4
16	WellCare facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	9	$0	$1	$3	399%	—	$0 – $18
17	Bcbs Mn fee schedule · both · +1 other terms	8	$4	$4	—	—	—	$4 – $4
18	Aetna Better Health fee schedule · inpatient · +5 other terms	7	$10	$10	—	—	—	$10 – $10
19	Humana fee schedule · inpatient · +7 other terms	5	$10	$10	—	—	—	$10 – $10
20	First Health facility · fee schedule · outpatient · +7 other terms	4	$30	$30	—	—	—	$30 – $30
21	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$30	$31	$2	6%	—	$30 – $34
22	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	3	$26	$40	$21	52%	—	$26 – $69
23	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$5	$5	—	—	—	$5 – $5
24	Ambetter percent of total billed charges · outpatientfrom % of charges	2	$45	$45	$18	40%	—	$27 – $62
25	Amerihealth Caritas other · outpatient · +4 other terms	2	$5	$5	$1	27%	—	$4 – $7

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