Dental X-ray, posterior extraoral image

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

Extraoral posterior image

Payers reporting HCPCS D0251

Payer pricing summary

Low

Average

$114

Median

$103

High

$273

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +8 other terms	282	$93	$102	$46	45%	—	$12 – $360
2	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	177	$94	$156	$104	67%	—	$23 – $666
3	UnitedHealthcare fee schedule · outpatient · +10 other terms	168	$90	$116	$160	137%	—	$11 – $2.6k
4	Humana fee schedule · outpatient · +7 other terms	148	$89	$92	$18	19%	—	$54 – $251
5	Cigna fee schedule · outpatient · +7 other terms	102	$90	$112	$48	43%	—	$79 – $285
6	Molina fee schedule · outpatient · +6 other terms	89	$103	$118	$38	33%	—	$63 – $236
7	WellCare fee schedule · outpatient · +5 other terms	76	$89	$108	$39	36%	—	$80 – $206
8	Devoted fee schedule · outpatient · +2 other terms	47	$95	$90	$6	7%	—	$81 – $98
9	Ambetter facility · fee schedule · outpatient · +3 other terms	40	$152	$156	$32	21%	—	$94 – $212
10	Oscar fee schedule · outpatient · +3 other terms	39	$181	$169	$37	22%	—	$103 – $248
11	Anthem facility · fee schedule · outpatient · +5 other terms	38	$121	$125	$48	38%	—	$17 – $244
12	Kaiser fee schedule · outpatient · +2 other terms	26	$187	$175	$80	46%	—	$88 – $377
13	Bcbs Tx fee schedule · outpatient	23	$86	$86	$2	3%	—	$83 – $91
14	Optum fee schedule · outpatient · +4 other terms	23	$91	$134	$71	53%	—	$79 – $321
15	Clover fee schedule · outpatient · +2 other terms	21	$96	$93	$7	8%	—	$79 – $104
16	Caresource facility · fee schedule · outpatient · +3 other terms	17	$133	$125	$35	28%	—	$89 – $173
17	Regence facility · case rate · outpatient · +2 other terms	16	$91	$110	$53	48%	—	$82 – $283
18	First Health fee schedule · outpatient	14	$91	$103	$30	29%	—	$91 – $177
19	MultiPlan fee schedule · outpatient · +2 other terms	14	$146	$146	—	—	—	$146 – $146
20	Bcbs Nj fee schedule · outpatient	12	$99	$209	$140	67%	—	$96 – $426
21	Highmark fee schedule · outpatient · +4 other terms	12	$94	$92	$45	48%	—	$40 – $215
22	Medical Mutual fee schedule · outpatient · +2 other terms	10	$241	$217	$74	34%	—	$76 – $366
23	Tricare fee schedule · outpatient · +2 other terms	10	$79	$81	$3	3%	—	$79 – $85
24	Aetna Better Health facility · case rate · outpatient · +1 other terms	7	$29	$29	$0	1%	—	$28 – $29
25	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$26	$27	$1	3%	—	$26 – $29

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