Denture relining, complete upper (indirect 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 cmplt max lab

Payers reporting HCPCS D5750

Payer pricing summary

Low

$44

Average

$2.6k

Median

$448

High

$35.8k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	71	$769	$934	$554	59%	—	$152 – $1.6k
2	Molina facility · case rate · outpatient · +6 other terms	29	$1.5k	$4.4k	$19.6k	450%	—	$115 – $111.7k
3	Aetna fee schedule · outpatient · +10 other terms	27	$172	$367	$381	104%	—	$79 – $1.9k
4	UnitedHealthcare professional · fee schedule · outpatient · +11 other terms	24	$328	$413	$148	36%	—	$204 – $733
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$222	$375	$209	56%	—	$205 – $845
6	Caresource facility · case rate · outpatient · +1 other terms	15	$1.5k	$8.6k	$26.7k	309%	—	$1.4k – $108.4k
7	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms	15	$606	$565	$88	16%	—	$349 – $606
8	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$161	$161	$13	8%	—	$148 – $174
9	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	13	$195	$195	—	—	—	$195 – $195
10	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	13	$677	$1.5k	$4.4k	284%	—	$132 – $22k
11	Optum facility · case rate · outpatient · +3 other terms	13	$1.4k	$1.2k	$451	39%	—	$109 – $1.4k
12	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	13	$45	$44	$14	32%	—	$24 – $84
13	Highmark fee schedule · outpatient · +1 other terms	11	$270	$271	$21	8%	—	$213 – $480
14	Cigna professional · fee schedule · outpatient · +6 other terms	10	$189	$187	$5	3%	—	$175 – $189
15	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$128	$128	—	—	—	$128 – $128
16	Aetna Better Health facility · case rate · outpatient	7	$138	$139	$5	4%	—	$132 – $157
17	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$126	$128	$4	3%	—	$126 – $138
18	Medicaid fee schedule · outpatient · +1 other terms	7	$764	$764	—	—	—	$764 – $764
19	Medica fee schedule · outpatient · +3 other terms	5	$345	$259	$61	24%	—	$203 – $345
20	Tricare facility · fee schedule · outpatient	5	$50k	$35.8k	$22.4k	62%	—	$465 – $50k
21	Kaiser fee schedule · outpatient · +1 other terms	4	$490	$491	$232	47%	—	$152 – $764
22	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$203	$203	—	—	—	$203 – $203
23	Wellmark facility · case rate · outpatient	3	$512	$450	$142	32%	—	$209 – $566
24	Excellus fee schedule · outpatient · +3 other terms	2	$301	$309	$253	82%	—	$90 – $645
25	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$395	$395	—	—	—	$395 – $395

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