ORAL HYGIENE INSTRUCTION

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.

Generation details were not recorded for this description.

Original text from hospital filings

Oral hygiene instruction

Payers reporting HCPCS D1330

Payer pricing summary

Low

$13

Average

$138

Median

$68

High

$979

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +9 other terms	65	$176	$144	$82	56%	—	$26 – $240
2	Molina facility · case rate · outpatient · +6 other terms	29	$642	$540	$477	88%	—	$74 – $1.6k
3	Aetna fee schedule · outpatient · +9 other terms	25	$25	$84	$118	140%	—	$14 – $619
4	UnitedHealthcare fee schedule · outpatient · +12 other terms	21	$33	$46	$42	93%	—	$11 – $185
5	Anthem facility · case rate · outpatient · +5 other terms	15	$916	$1.0k	$235	23%	—	$623 – $1.6k
6	Caresource facility · case rate · outpatient · +1 other terms	15	$934	$1.0k	$230	23%	—	$623 – $1.6k
7	Optum facility · case rate · outpatient · +1 other terms	13	$829	$815	$369	45%	—	$82 – $1.4k
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	11	$65	$95	$86	90%	—	$65 – $352
9	Highmark fee schedule · outpatient · +1 other terms	11	$21	$23	$16	69%	—	$21 – $170
10	Cigna professional · fee schedule · outpatient · +7 other terms	10	$15	$16	$2	10%	—	$15 – $19
11	Aetna Better Health facility · case rate · outpatient · +1 other terms	7	$103	$103	$1	1%	—	$99 – $103
12	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$95	$96	$3	3%	—	$95 – $103
13	Medicaid fee schedule · outpatient · +1 other terms	7	$98	$98	—	—	—	$98 – $98
14	MultiPlan percent of total billed charges · outpatientfrom % of charges · +2 other terms	5	$78	$67	$23	35%	—	$22 – $88
15	Kaiser fee schedule · outpatient · +1 other terms	4	$249	$241	$147	61%	—	$98 – $523
16	Medica fee schedule · outpatient · +2 other terms	3	$27	$27	—	—	—	$27 – $27
17	Wellmark facility · case rate · outpatient	3	$328	$288	$91	32%	—	$134 – $362
18	Excellus fee schedule · outpatient · +1 other terms	2	$56	$55	$8	14%	—	$34 – $58
19	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$20	$20	—	—	—	$20 – $20
20	Tricare facility · fee schedule · outpatient	2	$24	$24	—	—	—	$24 – $24
21	Bcbs Id professional · fee schedule · outpatient	1	$55	$55	—	—	—	$55 – $55
22	Bcbs La percent of total billed charges · outpatientfrom % of charges	1	$15	$15	—	—	—	$15 – $15
23	Bcbs Mn fee schedule · outpatient	1	$68	$68	—	—	—	$68 – $68
24	Bcbs Nv fee schedule · outpatient	1	$20	$20	—	—	—	$20 – $20
25	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$35	$35	—	—	—	$35 – $35

Page 1 of 2 · 31 payers

← Hospitals reporting HCPCS D1330 · Snapshot 20261112T124536Z-e251e855