Upper denture relining, direct method

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

Denture reln part maxil chr

Payers reporting HCPCS D5740

Payer pricing summary

Low

$64

Average

$663

Median

$291

High

$8.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	71	$481	$640	$378	59%	—	$129 – $1.1k
2	Aetna fee schedule · outpatient · +9 other terms	35	$287	$382	$330	86%	—	$79 – $1.2k
3	Molina facility · case rate · outpatient · +6 other terms	29	$1.5k	$4.4k	$19.6k	450%	—	$115 – $111.7k
4	UnitedHealthcare fee schedule · outpatient · +11 other terms	25	$288	$503	$458	91%	—	$30 – $1.2k
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$143	$253	$146	58%	—	$140 – $580
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	$451	39%	—	$109 – $1.4k
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	12	$493	$450	$122	27%	—	$105 – $517
9	Highmark fee schedule · outpatient · +1 other terms	11	$243	$237	$237	100%	—	$167 – $1.1k
10	Cigna professional · fee schedule · outpatient · +5 other terms	10	$118	$118	$2	1%	—	$114 – $120
11	Aetna Better Health facility · case rate · outpatient	7	$138	$139	$5	4%	—	$132 – $157
12	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$126	$128	$4	3%	—	$126 – $138
13	Medicaid fee schedule · outpatient · +1 other terms	7	$456	$456	—	—	—	$456 – $456
14	Medica fee schedule · outpatient · +3 other terms	5	$216	$161	$39	24%	—	$123 – $216
15	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	5	$540	$493	$93	19%	—	$307 – $540
16	Kaiser fee schedule · outpatient · +1 other terms	4	$372	$375	$115	31%	—	$152 – $523
17	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$152	$152	—	—	—	$152 – $152
18	Wellmark facility · case rate · outpatient	3	$512	$450	$142	32%	—	$209 – $566
19	Excellus fee schedule · outpatient · +1 other terms	2	$393	$391	$53	14%	—	$241 – $410
20	Bcbs Id professional · fee schedule · outpatient	1	$243	$243	—	—	—	$243 – $243
21	Bcbs Mn fee schedule · outpatient	1	$517	$517	—	—	—	$517 – $517
22	Bcbs Nv fee schedule · outpatient	1	$141	$141	—	—	—	$141 – $141
23	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$256	$256	—	—	—	$256 – $256
24	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$144	$144	$16	11%	—	$128 – $160
25	Bcbs Vt professional · fee schedule · outpatient	1	$161	$161	—	—	—	$161 – $161

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