Replacement of full set of dentures

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

Replace denture teeth complt

Payers reporting HCPCS D5520

Payer pricing summary

Low

$30

Average

$2.3k

Median

$164

High

$31.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +7 other terms	71	$301	$286	$162	57%	—	$56 – $492
2	Molina facility · case rate · outpatient · +7 other terms	29	$1.5k	$4.4k	$19.6k	450%	—	$115 – $111.7k
3	Aetna fee schedule · outpatient · +13 other terms	26	$79	$149	$144	97%	—	$35 – $619
4	UnitedHealthcare fee schedule · outpatient · +12 other terms	23	$89	$100	$54	54%	—	$16 – $288
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$85	$120	$57	48%	—	$61 – $251
6	Caresource facility · case rate · outpatient · +2 other terms	15	$1.5k	$8.6k	$26.7k	309%	—	$1.4k – $108.4k
7	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$107	$107	$9	8%	—	$99 – $116
8	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	13	$130	$130	—	—	—	$130 – $130
9	Optum facility · case rate · outpatient · +3 other terms	13	$1.4k	$1.2k	$451	39%	—	$109 – $1.4k
10	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	13	$30	$30	$9	32%	—	$16 – $56
11	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	12	$227	$1.3k	$4.6k	363%	—	$227 – $22k
12	Highmark fee schedule · outpatient · +3 other terms	11	$100	$105	$39	37%	—	$100 – $480
13	Cigna professional · fee schedule · outpatient · +6 other terms	10	$47	$48	$0	1%	—	$47 – $49
14	Aetna Better Health facility · case rate · outpatient · +1 other terms	7	$138	$139	$5	4%	—	$132 – $157
15	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$126	$128	$4	3%	—	$126 – $138
16	Medicaid fee schedule · outpatient · +1 other terms	7	$200	$200	—	—	—	$200 – $200
17	Medica fee schedule · outpatient · +3 other terms	5	$86	$69	$13	19%	—	$56 – $86
18	MultiPlan percent of total billed charges · outpatientfrom % of charges · +6 other terms	5	$160	$156	$15	10%	—	$139 – $180
19	Tricare facility · fee schedule · outpatient · +1 other terms	5	$50k	$35.8k	$22.5k	63%	—	$141 – $50k
20	Kaiser fee schedule · outpatient · +1 other terms	4	$291	$279	$114	41%	—	$152 – $523
21	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$76	$76	—	—	—	$76 – $76
22	Wellmark facility · case rate · outpatient	3	$512	$450	$142	32%	—	$209 – $566
23	Excellus fee schedule · outpatient · +4 other terms	2	$78	$78	$69	89%	—	$23 – $167
24	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	2	$120	$120	—	—	—	$120 – $120
25	Bcbs Id professional · fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103

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