Denture base repair, partial, 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-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

Rep resin part dent base max

Payers reporting HCPCS D5612

Payer pricing summary

Low

$50

Average

$617

Median

$156

High

$7.7k

Payer rate distribution

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Filter by billing class

#
1	Molina facility · case rate · outpatient · +6 other terms	29	$1.5k	$4.4k	$19.6k	450%	—	$115 – $111.7k
2	Aetna fee schedule · outpatient · +8 other terms	24	$79	$166	$157	94%	—	$46 – $633
3	UnitedHealthcare fee schedule · outpatient · +11 other terms	23	$116	$126	$55	44%	—	$24 – $288
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	20	$302	$337	$98	29%	—	$277 – $771
5	Anthem facility · case rate · outpatient · +5 other terms	15	$1.5k	$8.6k	$26.7k	309%	—	$1.5k – $108.4k
6	Caresource facility · case rate · outpatient · +2 other terms	15	$1.5k	$8.6k	$26.7k	309%	—	$1.4k – $108.4k
7	Optum facility · case rate · outpatient · +2 other terms	13	$1.4k	$1.2k	$451	39%	—	$109 – $1.4k
8	Highmark fee schedule · outpatient · +2 other terms	11	$105	$111	$38	34%	—	$105 – $480
9	Cigna professional · fee schedule · outpatient · +5 other terms	10	$71	$68	$4	6%	—	$62 – $71
10	Humana facility · case rate · outpatient · +4 other terms	8	$115	$119	$6	5%	—	$115 – $126
11	Aetna Better Health facility · case rate · outpatient · +1 other terms	7	$138	$139	$5	4%	—	$132 – $157
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$126	$128	$4	3%	—	$126 – $138
13	Medicaid fee schedule · outpatient · +1 other terms	7	$481	$481	—	—	—	$481 – $481
14	Medica fee schedule · outpatient · +2 other terms	5	$130	$105	$21	19%	—	$83 – $130
15	Kaiser fee schedule · outpatient · +1 other terms	4	$378	$385	$122	32%	—	$152 – $523
16	MultiPlan percent of total billed charges · outpatientfrom % of charges · +4 other terms	4	$385	$385	$34	9%	—	$337 – $433
17	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$83	$83	—	—	—	$83 – $83
18	First Health percent of total billed charges · outpatientfrom % of charges · +2 other terms	3	$385	$283	$150	53%	—	$71 – $394
19	Wellmark facility · case rate · outpatient	3	$512	$450	$142	32%	—	$209 – $566
20	Excellus fee schedule · outpatient · +2 other terms	2	$94	$94	$87	93%	—	$24 – $206
21	Bcbs Id professional · fee schedule · outpatient	1	$143	$143	—	—	—	$143 – $143
22	Bcbs Mn fee schedule · outpatient	1	$291	$291	—	—	—	$291 – $291
23	Bcbs Nv fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73
24	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$101	$101	—	—	—	$101 – $101
25	Bcbs Vt professional · fee schedule · outpatient	1	$114	$114	—	—	—	$114 – $114

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