Dental bitewing X-rays, four images

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 Bitewings 4 Films

Payers reporting HCPCS D0274

Payer pricing summary

Low

$42

Average

$506

Median

$381

High

$3.1k

Payer rate distribution

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Filter by billing class

#
1	Aetna fee schedule · outpatient · +14 other terms	289	$256	$266	$157	59%	—	$8 – $1.7k
2	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	203	$261	$666	$950	143%	—	$1 – $5.7k
3	Humana fee schedule · outpatient · +13 other terms	191	$232	$212	$85	40%	—	$24 – $689
4	UnitedHealthcare fee schedule · outpatient · +17 other terms	176	$244	$305	$434	142%	—	$8 – $7.1k
5	Cigna fee schedule · outpatient · +13 other terms	104	$252	$320	$158	49%	—	$215 – $1.1k
6	Molina fee schedule · outpatient · +8 other terms	92	$268	$296	$130	44%	—	$8 – $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	40	$417	$428	$88	21%	—	$259 – $582
10	Anthem facility · fee schedule · outpatient · +7 other terms	39	$328	$333	$182	54%	—	$16 – $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	$427	$236	55%	—	$42 – $1.0k
13	Bcbs Tx fee schedule · outpatient · +1 other terms	23	$237	$237	$7	3%	—	$227 – $249
14	Optum fee schedule · outpatient · +5 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 · +5 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	$249	$119	48%	—	$9 – $486
19	Medicare other · both · +3 other terms	14	$228	$233	$13	6%	—	$223 – $277
20	MultiPlan fee schedule · outpatient · +8 other terms	14	$393	$393	—	—	—	$393 – $393
21	Tricare other · both · +7 other terms	14	$1.5k	$1.3k	$502	38%	—	$273 – $1.6k
22	Highmark fee schedule · outpatient · +6 other terms	13	$216	$213	$163	77%	—	$31 – $590
23	Bcbs Nj fee schedule · outpatient	12	$271	$573	$384	67%	—	$264 – $1.2k
24	Medical Mutual fee schedule · outpatient · +4 other terms	10	$662	$594	$204	34%	—	$207 – $1.0k
25	Aetna Better Health facility · case rate · outpatient · +3 other terms	7	$29	$29	$0	1%	—	$28 – $29

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