Other oral pathology procedure

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

Non-traumatic spinal cord injury M >=53.50 and M <60.50

Payers reporting HCPCS D0502

Payer pricing summary

Low

Average

$88

Median

$55

High

$542

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +5 other terms	29	$7	$6	$3	51%	—	$2 – $14
2	Aetna fee schedule · outpatient · +8 other terms	20	$37	$64	$89	139%	—	$5 – $393
3	UnitedHealthcare professional · fee schedule · outpatient · +9 other terms	19	$85	$115	$42	37%	—	$58 – $205
4	Anthem facility · case rate · outpatient · +5 other terms	15	$8	$9	$2	23%	—	$6 – $14
5	Caresource facility · case rate · outpatient · +1 other terms	15	$8	$9	$2	23%	—	$6 – $14
6	Optum facility · case rate · outpatient · +1 other terms	13	$7	$7	$3	37%	—	$2 – $12
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	11	$230	$226	$12	5%	—	$191 – $230
8	Highmark fee schedule · outpatient · +1 other terms	11	$112	$111	$8	7%	—	$54 – $121
9	Humana fee schedule · outpatient · +4 other terms	11	$222	$136	$91	67%	—	$6 – $240
10	Cigna professional · fee schedule · outpatient · +4 other terms	10	$54	$51	$5	10%	—	$44 – $54
11	Aetna Better Health facility · case rate · outpatient	7	$3	$3	$0	1%	—	$3 – $3
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$3	$3	$0	3%	—	$3 – $3
13	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges	4	$180	$180	—	—	—	$180 – $180
14	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$51	$51	—	—	—	$51 – $51
15	Medica fee schedule · outpatient · +2 other terms	3	$95	$95	—	—	—	$95 – $95
16	Wellmark facility · case rate · outpatient	3	$10	$9	$3	31%	—	$4 – $11
17	Medicaid facility · case rate · outpatient	2	$2	$2	—	—	—	$2 – $2
18	Bcbs Id professional · fee schedule · outpatient	1	$109	$109	—	—	—	$109 – $109
19	Bcbs Mn fee schedule · outpatient	1	$230	$230	—	—	—	$230 – $230
20	Bcbs Nv fee schedule · outpatient	1	$51	$51	—	—	—	$51 – $51
21	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$68	$68	$8	12%	—	$60 – $76
22	Bcbs Vt professional · fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18
23	Tricare professional · percent of total billed charges · outpatientfrom % of charges	1	$178	$178	—	—	—	$178 – $178
24	WellCare facility · case rate · outpatient	1	$2	$2	—	—	—	$2 – $2