3D dental scan taken directly

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 DENTAL SURFACE SCAN DIRECT

Payers reporting HCPCS D0801

Payer pricing summary

Low

Average

$176

Median

$65

High

$1.2k

Payer rate distribution

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#
1	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	1	$59	$59	—	—	1–10	$59 – $59
2	Molina facility · case rate · outpatient · +7 other terms	29	$423	$335	$333	99%	—	$21 – $1.0k
3	Aetna fee schedule · outpatient · +6 other terms	22	$24	$58	$64	111%	—	$15 – $242
4	UnitedHealthcare facility · case rate · outpatient · +8 other terms	18	$593	$534	$295	55%	—	$24 – $1.0k
5	Anthem facility · case rate · outpatient · +5 other terms	15	$604	$660	$155	23%	—	$411 – $1.0k
6	Caresource facility · case rate · outpatient · +1 other terms	15	$615	$661	$151	23%	—	$411 – $1.0k
7	Optum facility · case rate · outpatient · +1 other terms	13	$546	$533	$253	47%	—	$23 – $927
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	10	$98	$98	—	—	—	$98 – $98
9	Cigna professional · fee schedule · outpatient · +1 other terms	8	$81	$81	—	—	—	$81 – $81
10	Humana facility · case rate · outpatient · +4 other terms	8	$24	$25	$1	5%	—	$24 – $26
11	Aetna Better Health facility · case rate · outpatient	7	$29	$29	$0	1%	—	$28 – $29
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$26	$27	$1	3%	—	$26 – $29
13	Medica fee schedule · outpatient · +4 other terms	5	$35	$67	$26	39%	—	$35 – $95
14	Wellmark facility · case rate · outpatient	3	$91	$80	$25	32%	—	$37 – $101
15	Medicaid facility · case rate · outpatient	2	$24	$24	—	—	—	$24 – $24
16	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
17	Bcbs Mn fee schedule · outpatient	1	$98	$98	—	—	—	$98 – $98
18	Highmark fee schedule · outpatient	1	$44	$44	$18	42%	—	$31 – $70
19	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges	1	$180	$180	—	—	—	$180 – $180
20	Oscar professional · percent of total billed charges · outpatientfrom % of charges	1	$51	$51	—	—	—	$51 – $51
21	Tricare professional · percent of total billed charges · outpatientfrom % of charges	1	$25	$25	—	—	—	$25 – $25
22	WellCare facility · case rate · outpatient	1	$24	$24	—	—	—	$24 – $24