Mandibular 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 mand

Payers reporting HCPCS D5411

Payer pricing summary

Low

$12

Average

$129

Median

$75

High

$1.4k

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 · +10 other terms	26	$66	$121	$138	114%	—	$21 – $619
4	UnitedHealthcare fee schedule · outpatient · +12 other terms	24	$49	$67	$68	101%	—	$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	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$43	$43	$3	8%	—	$39 – $46
8	Optum facility · case rate · outpatient · +3 other terms	14	$51	$72	$41	57%	—	$44 – $167
9	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	13	$52	$52	—	—	—	$52 – $52
10	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms	13	$64	$66	$7	11%	—	$64 – $91
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	11	$147	$174	$72	41%	—	$147 – $389
13	Highmark fee schedule · outpatient · +2 other terms	11	$42	$45	$20	45%	—	$42 – $242
14	Cigna professional · fee schedule · outpatient · +7 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	$130	$130	—	—	—	$130 – $130
19	Medica fee schedule · outpatient · +3 other terms	5	$51	$37	$11	29%	—	$24 – $51
20	Kaiser fee schedule · outpatient · +1 other terms	4	$262	$253	$136	54%	—	$130 – $523
21	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$34	$34	—	—	—	$34 – $34
22	Wellmark facility · case rate · outpatient	3	$573	$503	$159	32%	—	$234 – $633
23	Excellus fee schedule · outpatient · +4 other terms	2	$66	$66	$61	93%	—	$17 – $145
24	Bcbs Id professional · fee schedule · outpatient	1	$62	$62	—	—	—	$62 – $62
25	Bcbs Mn fee schedule · outpatient	1	$155	$155	—	—	—	$155 – $155

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