Oral evaluation for child under 3

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

ORAL EVALUATION FOR A PATIENT UNDER THREE YEARS OF AGE AND COUNSELING WITH PRIMARY CAREGIVER

Payers reporting HCPCS D0145

Payer pricing summary

Low

$22

Average

$123

Median

$77

High

$811

Payer rate distribution

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#
1	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	1	$83	$83	—	—	1–10	$83 – $83
2	Humana fee schedule · outpatient · +9 other terms	71	$184	$153	$88	58%	—	$30 – $264
3	Aetna fee schedule · outpatient · +14 other terms	33	$143	$254	$333	131%	—	$17 – $931
4	Molina facility · case rate · outpatient · +5 other terms	30	$369	$446	$385	86%	—	$71 – $1.3k
5	UnitedHealthcare professional · fee schedule · outpatient · +19 other terms	23	$46	$54	$18	34%	—	$23 – $104
6	Anthem professional · fee schedule · outpatient · +13 other terms	17	$43	$58	$26	45%	—	$32 – $133
7	Caresource facility · case rate · outpatient · +1 other terms	15	$773	$830	$190	23%	—	$516 – $1.3k
8	Optum facility · case rate · outpatient · +2 other terms	13	$686	$677	$302	45%	—	$78 – $1.2k
9	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	11	$152	$115	$117	102%	—	$0 – $403
10	Highmark fee schedule · outpatient · +1 other terms	11	$124	$115	$270	235%	—	$38 – $1.1k
11	Cigna professional · fee schedule · outpatient · +13 other terms	10	$20	$21	$1	5%	—	$20 – $23
12	Medicaid fee schedule · outpatient · +1 other terms	8	$82	$82	$0	0%	—	$81 – $82
13	Aetna Better Health facility · case rate · outpatient	7	$98	$98	$1	1%	—	$94 – $98
14	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$90	$91	$3	3%	—	$90 – $98
15	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	5	$90	$83	$14	17%	—	$54 – $90
16	Kaiser fee schedule · outpatient · +1 other terms	4	$242	$235	$153	65%	—	$82 – $523
17	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$25	$25	—	—	—	$25 – $25
18	Medica fee schedule · outpatient · +3 other terms	3	$37	$37	—	—	—	$37 – $37
19	Wellmark facility · case rate · outpatient	3	$312	$274	$86	32%	—	$127 – $345
20	Phcs percent of total billed charges · outpatientfrom % of charges	2	$71	$71	$2	3%	—	$69 – $74
21	Bcbs Id professional · fee schedule · outpatient	1	$60	$60	—	—	—	$60 – $60
22	Bcbs Mn fee schedule · outpatient	1	$95	$95	—	—	—	$95 – $95
23	Bcbs Nv fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25
24	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$47	$47	—	—	—	$47 – $47
25	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$29	$29	$4	12%	—	$25 – $32

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