Caries risk assessment, low risk

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

CARIES RISK ASSESSMENT AND DOCUMENTATION; WITH A FINDING OF LOW RISK

Payers reporting HCPCS D0601

Payer pricing summary

Low

Average

$156

Median

$82

High

$811

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +5 other terms	29	$531	$454	$389	86%	—	$71 – $1.3k
2	UnitedHealthcare professional · fee schedule · outpatient · +6 other terms	19	$9	$13	$5	37%	—	$7 – $22
3	Aetna fee schedule · outpatient · +6 other terms	17	$8	$42	$63	150%	—	$3 – $176
4	Anthem facility · case rate · outpatient · +5 other terms	15	$758	$829	$195	23%	—	$516 – $1.3k
5	Caresource facility · case rate · outpatient · +1 other terms	15	$773	$830	$190	23%	—	$516 – $1.3k
6	Optum facility · case rate · outpatient · +1 other terms	13	$686	$677	$302	45%	—	$78 – $1.2k
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	11	$98	$109	$28	25%	—	$98 – $191
8	Highmark fee schedule · outpatient · +2 other terms	11	$29	$30	$9	30%	—	$29 – $121
9	Humana fee schedule · outpatient · +3 other terms	11	$25	$56	$69	123%	—	$7 – $185
10	Cigna professional · fee schedule · outpatient · +1 other terms	10	$6	$6	$1	11%	—	$5 – $6
11	Aetna Better Health facility · case rate · outpatient	7	$98	$98	$1	1%	—	$94 – $98
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$90	$91	$3	3%	—	$90 – $98
13	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges	4	$90	$90	—	—	—	$90 – $90
14	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$25	$25	—	—	—	$25 – $25
15	Medica fee schedule · outpatient · +2 other terms	3	$11	$11	—	—	—	$11 – $11
16	Wellmark facility · case rate · outpatient	3	$312	$274	$86	32%	—	$127 – $345
17	Medicaid facility · case rate · outpatient	2	$82	$82	—	—	—	$82 – $82
18	Bcbs Id professional · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
19	Bcbs Mn fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103
20	Bcbs Nv fee schedule · outpatient	1	$6	$6	—	—	—	$6 – $6
21	Bcbs Vt professional · fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
22	Regence facility · fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
23	WellCare facility · case rate · outpatient	1	$82	$82	—	—	—	$82 – $82