2D cephalometric X-ray 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

2d cephalometric image

Payers reporting HCPCS D0340

Payer pricing summary

Low

$58

Average

$315

Median

$124

High

$3.9k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +11 other terms	285	$93	$107	$46	43%	—	$33 – $360
2	Humana fee schedule · outpatient · +7 other terms	191	$97	$152	$135	88%	—	$56 – $514
3	UnitedHealthcare fee schedule · outpatient · +10 other terms	171	$92	$126	$154	122%	—	$24 – $2.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	168	$94	$181	$356	197%	—	$0 – $4.4k
5	Cigna fee schedule · outpatient · +8 other terms	103	$90	$116	$58	50%	—	$79 – $397
6	Molina fee schedule · outpatient · +7 other terms	93	$115	$123	$43	35%	—	$63 – $253
7	WellCare fee schedule · outpatient · +3 other terms	77	$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	Anthem facility · fee schedule · outpatient · +5 other terms	39	$124	$146	$76	52%	—	$45 – $401
11	Oscar fee schedule · outpatient · +3 other terms	39	$181	$169	$37	22%	—	$103 – $248
12	Kaiser fee schedule · outpatient · +2 other terms	27	$187	$167	$82	49%	—	$67 – $377
13	Bcbs Tx fee schedule · outpatient · +1 other terms	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 · +3 other terms	21	$96	$93	$7	8%	—	$79 – $104
16	Caresource facility · fee schedule · outpatient · +4 other terms	17	$133	$125	$35	28%	—	$89 – $173
17	Regence facility · case rate · outpatient · +3 other terms	16	$91	$110	$53	48%	—	$82 – $283
18	First Health fee schedule · outpatient · +4 other terms	14	$91	$103	$30	29%	—	$91 – $177
19	MultiPlan fee schedule · outpatient · +5 other terms	14	$146	$146	—	—	—	$146 – $146
20	Highmark fee schedule · outpatient · +6 other terms	13	$102	$100	$39	39%	—	$40 – $241
21	Bcbs Nj fee schedule · outpatient	12	$99	$209	$140	67%	—	$96 – $426
22	Tricare fee schedule · outpatient · +4 other terms	11	$79	$83	$4	4%	—	$79 – $87
23	Medical Mutual fee schedule · outpatient · +2 other terms	10	$241	$217	$74	34%	—	$76 – $366
24	Aetna Better Health facility · case rate · outpatient · +2 other terms	7	$110	$109	$1	1%	—	$105 – $110
25	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$101	$102	$3	3%	—	$101 – $110

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