HCPCS D0396

3D printed model from surface scan

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

3d print of 3d surface scan

Payer pricing summary

Low

$25

Average

$65

Median

$67

High

$90

Payer rate distribution

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All methodologies Case rate 13 Fee schedule 11 Per diem 0 Percent of billed charges 7 Other 5

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#
1	Aetna professional · percent of total billed charges · outpatientfrom % of charges	2	$78	$82	$11	14%	—	$71 – $100
2	Cigna professional · percent of total billed charges · outpatientfrom % of charges	2	$76	$76	$4	6%	—	$71 – $80
3	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges	1	$90	$90	—	—	—	$90 – $90
4	Optum professional · percent of total billed charges · outpatientfrom % of charges	1	$55	$55	$6	11%	—	$47 – $61
5	Oscar professional · percent of total billed charges · outpatientfrom % of charges	1	$25	$25	—	—	—	$25 – $25
6	Tricare professional · percent of total billed charges · outpatientfrom % of charges	1	$67	$67	—	—	—	$67 – $67
7	UnitedHealthcare professional · percent of total billed charges · outpatientfrom % of charges	1	$62	$62	—	—	—	$62 – $62

← Hospitals reporting HCPCS D0396 · Snapshot 20261113T090226Z-3ce6c0b8