Panoramic dental X-ray

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

HB Panoramic Film

Payers reporting HCPCS D0330

Payer pricing summary

Low

$42

Average

$423

Median

$294

High

$3.4k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +17 other terms	286	$256	$264	$138	52%	—	$12 – $987
2	Humana fee schedule · outpatient · +13 other terms	188	$249	$254	$101	40%	—	$50 – $689
3	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	178	$257	$416	$408	98%	—	$0 – $4.4k
4	UnitedHealthcare fee schedule · outpatient · +18 other terms	173	$244	$307	$431	140%	—	$12 – $7.1k
5	Cigna fee schedule · outpatient · +10 other terms	105	$249	$320	$157	49%	—	$215 – $1.1k
6	Molina fee schedule · outpatient · +10 other terms	86	$282	$296	$133	45%	—	$12 – $646
7	WellCare fee schedule · outpatient · +6 other terms	73	$244	$295	$113	38%	—	$88 – $566
8	Devoted fee schedule · outpatient · +4 other terms	41	$260	$245	$16	7%	—	$222 – $268
9	Ambetter facility · fee schedule · outpatient · +4 other terms	40	$417	$428	$88	21%	—	$259 – $582
10	Oscar fee schedule · outpatient · +4 other terms	39	$497	$463	$100	22%	—	$281 – $681
11	Anthem facility · fee schedule · outpatient · +6 other terms	38	$321	$323	$153	47%	—	$17 – $669
12	Kaiser fee schedule · outpatient · +4 other terms	31	$468	$431	$230	53%	—	$66 – $1.0k
13	Optum fee schedule · outpatient · +5 other terms	23	$249	$367	$194	53%	—	$216 – $881
14	Clover fee schedule · outpatient · +3 other terms	21	$264	$256	$20	8%	—	$215 – $285
15	Bcbs Tx fee schedule · outpatient · +1 other terms	17	$237	$236	$7	3%	—	$227 – $249
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 · +9 other terms	15	$249	$250	$118	47%	—	$13 – $486
19	MultiPlan fee schedule · outpatient · +10 other terms	14	$393	$393	—	—	—	$393 – $393
20	Highmark fee schedule · outpatient · +6 other terms	13	$228	$225	$150	67%	—	$31 – $590
21	Bcbs Nj fee schedule · outpatient	12	$271	$573	$384	67%	—	$264 – $1.2k
22	Tricare fee schedule · outpatient · +8 other terms	12	$216	$229	$16	7%	—	$216 – $283
23	Medical Mutual fee schedule · outpatient · +3 other terms	10	$662	$594	$204	34%	—	$207 – $1.0k
24	Medicaid fee schedule · outpatient · +1 other terms	8	$209	$211	$4	2%	—	$209 – $221
25	Aetna Better Health facility · case rate · outpatient · +3 other terms	7	$29	$29	$0	1%	—	$28 – $29

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