Diagnostic dental casts

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

Diagnostic casts

Payers reporting HCPCS D0470

Payer pricing summary

Low

$21

Average

$1.6k

Median

$100

High

$25.0k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +13 other terms	71	$184	$236	$146	62%	—	$46 – $424
2	Aetna fee schedule · outpatient · +14 other terms	32	$79	$101	$97	95%	—	$24 – $619
3	Molina facility · case rate · outpatient · +10 other terms	29	$531	$454	$389	86%	—	$71 – $1.3k
4	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms	27	$141	$139	$37	26%	—	$29 – $175
5	UnitedHealthcare professional · fee schedule · outpatient · +16 other terms	27	$73	$78	$32	41%	—	$27 – $166
6	Anthem professional · fee schedule · outpatient · +8 other terms	17	$54	$95	$53	56%	—	$52 – $221
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +13 other terms	15	$168	$959	$4.0k	422%	—	$100 – $22k
8	Caresource facility · case rate · outpatient · +1 other terms	15	$773	$830	$190	23%	—	$516 – $1.3k
9	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$75	$75	$6	8%	—	$69 – $81
10	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	13	$91	$91	—	—	—	$91 – $91
11	Optum facility · case rate · outpatient · +3 other terms	13	$686	$677	$302	45%	—	$78 – $1.2k
12	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	13	$21	$21	$7	32%	—	$11 – $39
13	Highmark fee schedule · outpatient · +1 other terms	11	$73	$73	$5	7%	—	$54 – $121
14	Cigna professional · fee schedule · outpatient · +9 other terms	10	$25	$27	$3	11%	—	$25 – $33
15	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$30	$30	—	—	—	$30 – $30
16	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	9	$95	$94	$7	8%	—	$80 – $101
17	Aetna Better Health facility · case rate · outpatient	7	$98	$98	$1	1%	—	$94 – $98
18	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$90	$91	$3	3%	—	$90 – $98
19	Medicaid fee schedule · outpatient · +1 other terms	7	$96	$96	—	—	—	$96 – $96
20	Tricare facility · fee schedule · outpatient · +1 other terms	6	$37.5k	$27.8k	$24.8k	89%	—	$40 – $50k
21	Medica fee schedule · outpatient · +5 other terms	5	$44	$40	$10	25%	—	$30 – $55
22	Kaiser fee schedule · outpatient · +3 other terms	4	$248	$240	$148	61%	—	$96 – $523
23	Oscar professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms	4	$46	$46	—	—	—	$46 – $46
24	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	4	$87	$105	$57	54%	—	$46 – $199
25	Wellmark facility · case rate · outpatient	3	$312	$274	$86	32%	—	$127 – $345

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