Partial denture clasp repair

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 partial denture clasp

Payers reporting HCPCS D5630

Payer pricing summary

Low

$79

Average

$2.6k

Median

$280

High

$31.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +7 other terms	71	$356	$476	$275	58%	—	$95 – $832
2	Molina facility · case rate · outpatient · +6 other terms	30	$902	$4.2k	$19.3k	457%	—	$115 – $111.7k
3	Aetna fee schedule · outpatient · +11 other terms	26	$89	$213	$197	92%	—	$62 – $898
4	UnitedHealthcare professional · fee schedule · outpatient · +11 other terms	24	$161	$200	$69	34%	—	$94 – $360
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$105	$186	$109	59%	—	$103 – $429
6	Caresource facility · case rate · outpatient · +2 other terms	15	$1.5k	$8.6k	$26.7k	309%	—	$1.4k – $108.4k
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	13	$295	$1.2k	$4.4k	361%	—	$66 – $22k
8	Optum facility · case rate · outpatient · +2 other terms	13	$1.4k	$1.2k	$451	39%	—	$109 – $1.4k
9	Highmark fee schedule · outpatient · +3 other terms	11	$107	$112	$38	33%	—	$107 – $480
10	Cigna professional · fee schedule · outpatient · +5 other terms	10	$87	$87	$1	1%	—	$85 – $89
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 · +3 other terms	7	$126	$128	$4	3%	—	$126 – $138
13	Medicaid fee schedule · outpatient · +1 other terms	7	$337	$337	—	—	—	$337 – $337
14	Medica fee schedule · outpatient · +3 other terms	5	$160	$130	$26	20%	—	$103 – $160
15	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +5 other terms	5	$360	$332	$55	17%	—	$222 – $360
16	Tricare facility · fee schedule · outpatient · +1 other terms	5	$50k	$35.8k	$22.5k	63%	—	$237 – $50k
17	Kaiser fee schedule · outpatient · +1 other terms	4	$342	$331	$96	29%	—	$152 – $523
18	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$102	$102	—	—	—	$102 – $102
19	Wellmark facility · case rate · outpatient	3	$512	$450	$142	32%	—	$209 – $566
20	Excellus fee schedule · outpatient · +3 other terms	2	$279	$279	—	—	—	$279 – $279
21	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$201	$201	—	—	—	$201 – $201
22	Bcbs Id professional · fee schedule · outpatient	1	$179	$179	—	—	—	$179 – $179
23	Bcbs Mn fee schedule · outpatient	1	$310	$310	—	—	—	$310 – $310
24	Bcbs Nv fee schedule · outpatient	1	$104	$104	—	—	—	$104 – $104
25	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$308	$308	—	—	—	$308 – $308

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