Removable one-sided denture, one-piece resin

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Rem unilat dent 1 pc resin

Payers reporting HCPCS D5286

Payer pricing summary

Low

$166

Average

$987

Median

$565

High

$8.2k

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +6 other terms	29	$1.5k	$4.4k	$19.6k	447%	—	$166 – $111.7k
2	Aetna fee schedule · outpatient · +6 other terms	24	$329	$502	$553	110%	—	$79 – $2.8k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	21	$619	$613	$275	45%	—	$152 – $1.7k
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	20	$1.1k	$1.5k	$767	52%	—	$388 – $4.2k
5	Anthem facility · case rate · outpatient · +5 other terms	16	$1.5k	$8.2k	$25.9k	317%	—	$1.3k – $108.4k
6	Caresource facility · case rate · outpatient · +1 other terms	15	$1.5k	$8.6k	$26.7k	309%	—	$1.4k – $108.4k
7	Optum facility · case rate · outpatient · +1 other terms	13	$1.4k	$1.2k	$433	37%	—	$158 – $1.4k
8	Cigna professional · fee schedule · outpatient · +3 other terms	10	$317	$304	$17	6%	—	$279 – $317
9	Humana facility · case rate · outpatient · +2 other terms	8	$166	$173	$8	5%	—	$166 – $183
10	Aetna Better Health facility · case rate · outpatient	7	$200	$199	$3	1%	—	$191 – $200
11	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$183	$185	$6	3%	—	$183 – $200
12	Medicaid fee schedule · outpatient · +1 other terms	7	$607	$607	—	—	—	$607 – $607
13	Medica fee schedule · outpatient · +2 other terms	5	$578	$741	$531	72%	—	$373 – $1.7k
14	Kaiser fee schedule · outpatient · +1 other terms	4	$412	$432	$166	38%	—	$152 – $607
15	MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms	4	$486	$486	$43	9%	—	$425 – $546
16	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$381	$381	—	—	—	$381 – $381
17	Wellmark facility · case rate · outpatient	3	$634	$556	$175	32%	—	$258 – $700
18	Excellus fee schedule · outpatient	2	$596	$596	—	—	—	$596 – $596
19	First Health percent of total billed charges · outpatientfrom % of charges	2	$492	$492	$6	1%	—	$486 – $498
20	Bcbs Id professional · fee schedule · outpatient	1	$634	$634	—	—	—	$634 – $634
21	Bcbs Mn fee schedule · outpatient	1	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Bcbs Nv fee schedule · outpatient	1	$328	$328	—	—	—	$328 – $328
23	Bcbs Vt professional · fee schedule · outpatient	1	$506	$506	—	—	—	$506 – $506
24	Highmark fee schedule · outpatient	1	$578	$578	$241	42%	—	$408 – $919
25	Phcs percent of total billed charges · outpatientfrom % of charges	1	$546	$546	—	—	—	$546 – $546

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