Comprehensive periodontal gum evaluation

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

Comp periodontal evaluation

Payers reporting HCPCS D0180

Payer pricing summary

Low

$50

Average

$180

Median

$164

High

$502

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +9 other terms	277	$143	$155	$68	44%	—	$19 – $551
2	Humana fee schedule · outpatient · +7 other terms	189	$139	$152	$69	46%	—	$36 – $385
3	UnitedHealthcare fee schedule · outpatient · +9 other terms	169	$138	$186	$239	129%	—	$15 – $3.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	163	$143	$219	$150	68%	—	$0 – $969
5	Cigna fee schedule · outpatient · +7 other terms	100	$138	$174	$84	48%	—	$120 – $436
6	Molina fee schedule · outpatient · +6 other terms	88	$155	$175	$63	36%	—	$33 – $361
7	WellCare fee schedule · outpatient · +3 other terms	77	$134	$161	$56	35%	—	$121 – $302
8	Devoted fee schedule · outpatient · +4 other terms	47	$139	$136	$8	6%	—	$124 – $149
9	Ambetter facility · fee schedule · outpatient · +3 other terms	41	$231	$233	$49	21%	—	$125 – $310
10	Anthem facility · case rate · outpatient · +6 other terms	36	$462	$380	$276	73%	—	$121 – $1.3k
11	Oscar fee schedule · outpatient · +3 other terms	36	$273	$259	$55	21%	—	$160 – $380
12	Kaiser fee schedule · outpatient · +2 other terms	27	$285	$265	$122	46%	—	$120 – $576
13	Bcbs Tx fee schedule · outpatient · +1 other terms	23	$127	$127	$4	3%	—	$121 – $133
14	Optum fee schedule · outpatient · +4 other terms	23	$139	$205	$108	53%	—	$121 – $491
15	Clover fee schedule · outpatient · +3 other terms	21	$141	$138	$8	6%	—	$120 – $152
16	Caresource facility · case rate · outpatient · +3 other terms	16	$763	$751	$280	37%	—	$121 – $1.3k
17	Regence facility · case rate · outpatient · +3 other terms	16	$139	$166	$76	46%	—	$119 – $411
18	MultiPlan fee schedule · outpatient · +5 other terms	14	$212	$212	—	—	—	$212 – $212
19	First Health fee schedule · outpatient · +5 other terms	13	$139	$159	$48	30%	—	$139 – $271
20	Highmark fee schedule · outpatient · +3 other terms	13	$125	$124	$76	61%	—	$46 – $315
21	Bcbs Nj fee schedule · outpatient	12	$145	$305	$205	67%	—	$141 – $623
22	Tricare fee schedule · outpatient · +3 other terms	11	$121	$124	$3	3%	—	$121 – $129
23	Medical Mutual fee schedule · outpatient · +2 other terms	10	$353	$323	$110	34%	—	$116 – $559
24	Aetna Better Health facility · case rate · outpatient · +1 other terms	7	$98	$98	$1	1%	—	$94 – $98
25	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$90	$91	$3	3%	—	$90 – $98

Page 1 of 2 · 48 payers