Interim partial denture, lower jaw

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 interm part mandbl

Payers reporting HCPCS D5821

Payer pricing summary

Low

$124

Average

$2.7k

Median

$556

High

$28.0k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +7 other terms	71	$963	$1.2k	$724	60%	—	$152 – $2.1k
2	Molina facility · case rate · outpatient · +7 other terms	30	$938	$4.3k	$19.3k	453%	—	$139 – $111.7k
3	Aetna fee schedule · outpatient · +11 other terms	26	$223	$462	$490	106%	—	$79 – $2.4k
4	UnitedHealthcare professional · fee schedule · outpatient · +13 other terms	24	$420	$564	$185	33%	—	$255 – $939
5	Anthem professional · fee schedule · outpatient · +6 other terms	17	$305	$540	$291	54%	—	$266 – $1.1k
6	Caresource facility · case rate · outpatient · +2 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 · +5 other terms	15	$613	$576	$104	18%	—	$313 – $658
8	Optum facility · case rate · outpatient · +2 other terms	13	$1.4k	$1.2k	$433	37%	—	$158 – $1.4k
9	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	12	$853	$1.8k	$4.5k	250%	—	$314 – $22k
10	Cigna professional · fee schedule · outpatient · +6 other terms	10	$237	$234	$5	2%	—	$222 – $237
11	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$130	$130	—	—	—	$130 – $130
12	Highmark fee schedule · outpatient · +3 other terms	10	$416	$416	—	—	—	$416 – $416
13	Aetna Better Health facility · case rate · outpatient · +1 other terms	7	$200	$199	$3	1%	—	$191 – $200
14	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$183	$185	$6	3%	—	$183 – $200
15	Medicaid fee schedule · outpatient · +1 other terms	7	$863	$863	—	—	—	$863 – $863
16	Medica fee schedule · outpatient · +3 other terms	5	$432	$331	$72	22%	—	$279 – $432
17	Tricare facility · fee schedule · outpatient · +2 other terms	5	$50k	$35.8k	$22.4k	63%	—	$417 – $50k
18	Kaiser fee schedule · outpatient · +1 other terms	4	$536	$528	$277	52%	—	$152 – $863
19	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$102	$124	$68	55%	—	$76 – $305
20	Wellmark facility · case rate · outpatient	3	$634	$556	$175	32%	—	$258 – $700
21	Excellus fee schedule · outpatient · +2 other terms	2	$480	$478	$65	14%	—	$294 – $501
22	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$354	$354	—	—	—	$354 – $354
23	Bcbs Id professional · fee schedule · outpatient	1	$466	$466	—	—	—	$466 – $466
24	Bcbs Mn fee schedule · outpatient	1	$853	$853	—	—	—	$853 – $853
25	Bcbs Nv fee schedule · outpatient	1	$279	$279	—	—	—	$279 – $279

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