Full-mouth dental X-ray series

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 Intraoral-Complete Series

Payers reporting HCPCS D0210

Payer pricing summary

Low

$81

Average

$407

Median

$311

High

$1.9k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +15 other terms	289	$256	$268	$134	50%	—	$17 – $987
2	Humana fee schedule · outpatient · +15 other terms	192	$247	$258	$102	39%	—	$53 – $689
3	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	185	$257	$410	$405	99%	—	$0 – $4.4k
4	UnitedHealthcare fee schedule · outpatient · +17 other terms	176	$244	$312	$427	137%	—	$17 – $7.1k
5	Cigna fee schedule · outpatient · +13 other terms	105	$249	$320	$157	49%	—	$215 – $1.1k
6	Molina fee schedule · outpatient · +9 other terms	92	$268	$301	$122	40%	—	$17 – $646
7	WellCare fee schedule · outpatient · +7 other terms	77	$245	$296	$106	36%	—	$220 – $566
8	Devoted fee schedule · outpatient · +5 other terms	47	$260	$247	$16	7%	—	$222 – $268
9	Ambetter facility · fee schedule · outpatient · +4 other terms	41	$421	$433	$93	21%	—	$259 – $635
10	Anthem facility · fee schedule · outpatient · +9 other terms	39	$339	$359	$160	45%	—	$39 – $820
11	Oscar fee schedule · outpatient · +4 other terms	39	$497	$463	$100	22%	—	$281 – $681
12	Kaiser fee schedule · outpatient · +6 other terms	31	$468	$432	$229	53%	—	$74 – $1.0k
13	Bcbs Tx fee schedule · outpatient · +1 other terms	23	$237	$237	$7	3%	—	$227 – $249
14	Optum fee schedule · outpatient · +6 other terms	23	$249	$367	$194	53%	—	$216 – $881
15	Clover fee schedule · outpatient · +3 other terms	21	$264	$256	$20	8%	—	$215 – $285
16	Caresource facility · fee schedule · outpatient · +6 other terms	17	$366	$343	$97	28%	—	$244 – $475
17	Regence facility · case rate · outpatient · +4 other terms	16	$251	$300	$142	47%	—	$224 – $763
18	First Health fee schedule · outpatient · +8 other terms	15	$249	$250	$116	46%	—	$19 – $486
19	MultiPlan fee schedule · outpatient · +8 other terms	14	$393	$393	—	—	—	$393 – $393
20	Highmark fee schedule · outpatient · +6 other terms	13	$233	$231	$144	62%	—	$82 – $590
21	Bcbs Nj fee schedule · outpatient	12	$271	$573	$384	67%	—	$264 – $1.2k
22	Tricare fee schedule · outpatient · +7 other terms	12	$216	$229	$16	7%	—	$216 – $283
23	Medical Mutual fee schedule · outpatient · +4 other terms	10	$662	$594	$204	34%	—	$207 – $1.0k
24	Medicare other · both · +3 other terms	10	$227	$235	$15	6%	—	$226 – $277
25	Aetna Better Health facility · case rate · outpatient · +3 other terms	7	$110	$109	$1	1%	—	$105 – $110

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