Partial lower denture relining, indirect

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 mand lab

Payers reporting HCPCS D5761

Payer pricing summary

Low

$96

Average

$780

Median

$386

High

$8.2k

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +5 other terms	71	$769	$922	$546	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 · +9 other terms	27	$169	$364	$380	105%	—	$79 – $1.9k
4	UnitedHealthcare fee schedule · outpatient · +11 other terms	23	$275	$274	$117	43%	—	$74 – $544
5	Anthem facility · case rate · outpatient · +6 other terms	15	$1.5k	$8.6k	$26.7k	309%	—	$1.5k – $108.4k
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	13	$451	$455	$13	3%	—	$451 – $500
8	Optum facility · case rate · outpatient · +3 other terms	13	$1.4k	$1.2k	$451	39%	—	$109 – $1.4k
9	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	12	$617	$559	$164	29%	—	$132 – $655
10	Highmark fee schedule · outpatient · +1 other terms	11	$273	$274	$21	8%	—	$213 – $480
11	Cigna professional · fee schedule · outpatient · +5 other terms	10	$189	$186	$5	3%	—	$174 – $189
12	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$96	$96	—	—	—	$96 – $96
13	Aetna Better Health facility · case rate · outpatient	7	$138	$139	$5	4%	—	$132 – $157
14	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$126	$128	$4	3%	—	$126 – $138
15	Medicaid fee schedule · outpatient · +1 other terms	7	$654	$654	—	—	—	$654 – $654
16	Medica fee schedule · outpatient · +3 other terms	5	$345	$259	$61	24%	—	$203 – $345
17	Kaiser fee schedule · outpatient · +1 other terms	4	$435	$450	$185	41%	—	$152 – $654
18	Wellmark facility · case rate · outpatient	3	$512	$450	$142	32%	—	$209 – $566
19	Excellus fee schedule · outpatient · +2 other terms	2	$248	$254	$208	82%	—	$74 – $531
20	Bcbs Id professional · fee schedule · outpatient	1	$360	$360	—	—	—	$360 – $360
21	Bcbs Mn fee schedule · outpatient	1	$655	$655	—	—	—	$655 – $655
22	Bcbs Nv fee schedule · outpatient	1	$220	$220	—	—	—	$220 – $220
23	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$391	$391	—	—	—	$391 – $391
24	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$189	$189	$21	11%	—	$168 – $210
25	Bcbs Vt professional · fee schedule · outpatient	1	$231	$231	—	—	—	$231 – $231

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