Complete upper denture adjustment

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

Dentures adjust cmplt maxil

Payers reporting HCPCS D5410

Payer pricing summary

Low

$12

Average

$1.9k

Median

$87

High

$31.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +9 other terms	71	$215	$177	$102	57%	—	$34 – $339
2	Molina facility · case rate · outpatient · +7 other terms	29	$89	$134	$81	60%	—	$37 – $338
3	Aetna fee schedule · outpatient · +11 other terms	26	$66	$121	$138	114%	—	$21 – $619
4	UnitedHealthcare fee schedule · outpatient · +12 other terms	24	$49	$67	$67	100%	—	$11 – $323
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$37	$66	$38	58%	—	$36 – $150
6	Caresource facility · case rate · outpatient · +2 other terms	15	$53	$57	$13	23%	—	$36 – $90
7	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms	15	$64	$68	$9	13%	—	$64 – $91
8	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$43	$43	$3	8%	—	$39 – $46
9	Optum facility · case rate · outpatient · +3 other terms	14	$51	$72	$41	57%	—	$44 – $167
10	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	13	$52	$52	—	—	—	$52 – $52
11	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	13	$12	$12	$4	32%	—	$6 – $22
12	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	12	$126	$1.2k	$4.7k	389%	—	$126 – $22k
13	Highmark fee schedule · outpatient · +2 other terms	11	$42	$45	$20	45%	—	$42 – $242
14	Cigna professional · fee schedule · outpatient · +6 other terms	10	$28	$28	$1	2%	—	$28 – $29
15	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$14	$14	—	—	—	$14 – $14
16	Aetna Better Health facility · case rate · outpatient · +1 other terms	7	$211	$208	$9	4%	—	$175 – $211
17	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$193	$196	$6	3%	—	$193 – $211
18	Medicaid fee schedule · outpatient · +1 other terms	7	$129	$129	—	—	—	$129 – $129
19	Medica fee schedule · outpatient · +3 other terms	5	$51	$37	$11	29%	—	$24 – $51
20	Tricare facility · fee schedule · outpatient · +1 other terms	5	$50k	$35.7k	$22.5k	63%	—	$111 – $50k
21	Kaiser fee schedule · outpatient · +1 other terms	4	$262	$253	$136	54%	—	$129 – $523
22	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$34	$34	—	—	—	$34 – $34
23	Wellmark facility · case rate · outpatient	3	$573	$503	$159	32%	—	$234 – $633
24	Excellus fee schedule · outpatient · +5 other terms	2	$129	$129	—	—	—	$129 – $129
25	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	2	$94	$94	—	—	—	$94 – $94

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