Re-cementing a space maintainer

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

Recement space maintainer

Payers reporting HCPCS D1550

Payer pricing summary

Low

$33

Average

$148

Median

$148

High

$288

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +2 other terms	35	$193	$219	$60	27%	—	$29 – $263
2	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	7	$280	$276	$98	35%	—	$152 – $403
3	Medicaid fee schedule · outpatient	7	$185	$185	—	—	—	$185 – $185
4	Anthem facility · fee schedule · outpatient · +1 other terms	6	$295	$251	$115	46%	—	$60 – $378
5	Aetna fee schedule · outpatient · +3 other terms	5	$152	$542	$584	108%	—	$144 – $1.7k
6	Kaiser fee schedule · outpatient · +2 other terms	4	$285	$274	$118	43%	—	$152 – $523
7	Molina facility · case rate · outpatient · +2 other terms	4	$134	$141	$33	23%	—	$103 – $194
8	MultiPlan percent of total billed charges · outpatientfrom % of charges	4	$148	$148	$13	9%	—	$130 – $167
9	UnitedHealthcare fee schedule · outpatient · +4 other terms	3	$152	$72	$65	90%	—	$19 – $152
10	Wellmark facility · case rate · outpatient	3	$328	$288	$91	32%	—	$134 – $362
11	Amerihealth Caritas case rate · outpatient · +1 other terms	2	$95	$95	—	—	—	$95 – $95
12	First Health percent of total billed charges · outpatientfrom % of charges	2	$150	$150	$2	1%	—	$148 – $152
13	Aetna Better Health facility · case rate · outpatient	1	$100	$100	$1	1%	—	$99 – $100
14	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$33	$33	$4	12%	—	$29 – $37
15	Cigna facility · fee schedule · outpatient · +2 other terms	1	$92	$92	—	—	—	$92 – $92
16	Healthpartners facility · fee schedule · outpatient	1	$92	$92	—	—	—	$92 – $92
17	Phcs percent of total billed charges · outpatientfrom % of charges	1	$167	$167	—	—	—	$167 – $167