Partial upper denture rebase

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 rebase part maxill

Payers reporting HCPCS D5720

Payer pricing summary

Low

$166

Average

$822

Median

$474

High

$8.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	71	$769	$1.1k	$703	61%	—	$152 – $2.1k
2	Molina facility · case rate · outpatient · +6 other terms	29	$1.5k	$4.4k	$19.6k	447%	—	$139 – $111.7k
3	Aetna fee schedule · outpatient · +9 other terms	27	$215	$409	$413	101%	—	$79 – $2.0k
4	UnitedHealthcare fee schedule · outpatient · +11 other terms	23	$417	$380	$123	32%	—	$130 – $667
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$274	$468	$263	56%	—	$256 – $1.1k
6	Caresource facility · case rate · outpatient · +1 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	$433	37%	—	$158 – $1.4k
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms	11	$707	$682	$124	18%	—	$314 – $743
9	Highmark fee schedule · outpatient · +1 other terms	11	$297	$304	$60	20%	—	$297 – $919
10	Cigna professional · fee schedule · outpatient · +4 other terms	10	$189	$191	$3	2%	—	$189 – $197
11	Aetna Better Health facility · case rate · outpatient	7	$200	$199	$3	1%	—	$191 – $200
12	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$183	$185	$6	3%	—	$183 – $200
13	Medicaid fee schedule · outpatient · +1 other terms	7	$833	$833	—	—	—	$833 – $833
14	Medica fee schedule · outpatient · +3 other terms	5	$345	$266	$56	21%	—	$223 – $345
15	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	5	$720	$670	$101	15%	—	$468 – $720
16	Kaiser fee schedule · outpatient · +1 other terms	4	$523	$517	$263	51%	—	$152 – $833
17	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$203	$203	—	—	—	$203 – $203
18	Wellmark facility · case rate · outpatient	3	$634	$556	$175	32%	—	$258 – $700
19	Excellus fee schedule · outpatient · +1 other terms	2	$639	$636	$87	14%	—	$391 – $667
20	Bcbs Id professional · fee schedule · outpatient	1	$427	$427	—	—	—	$427 – $427
21	Bcbs Mn fee schedule · outpatient	1	$743	$743	—	—	—	$743 – $743
22	Bcbs Nv fee schedule · outpatient	1	$232	$232	—	—	—	$232 – $232
23	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$473	$473	—	—	—	$473 – $473
24	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$229	$229	$26	11%	—	$203 – $254
25	Bcbs Vt professional · fee schedule · outpatient	1	$294	$294	—	—	—	$294 – $294

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