Maxillary denture tissue conditioning

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 tiss conditn maxill

Payers reporting HCPCS D5850

Payer pricing summary

Low

$27

Average

$524

Median

$127

High

$8.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	71	$301	$304	$167	55%	—	$59 – $515
2	Molina facility · case rate · outpatient · +7 other terms	29	$1.5k	$4.4k	$19.6k	450%	—	$115 – $111.7k
3	Aetna fee schedule · outpatient · +11 other terms	26	$79	$164	$155	95%	—	$41 – $619
4	UnitedHealthcare professional · fee schedule · outpatient · +13 other terms	24	$104	$132	$48	36%	—	$66 – $232
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$78	$120	$61	51%	—	$64 – $265
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 · +1 other terms	13	$1.4k	$1.2k	$451	39%	—	$109 – $1.4k
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +11 other terms	11	$222	$231	$28	12%	—	$222 – $314
9	Highmark fee schedule · outpatient · +1 other terms	11	$108	$113	$37	33%	—	$108 – $480
10	Cigna professional · fee schedule · outpatient · +4 other terms	10	$62	$61	$2	3%	—	$56 – $62
11	Aetna Better Health facility · case rate · outpatient	7	$138	$139	$5	4%	—	$132 – $157
12	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$126	$128	$4	3%	—	$126 – $138
13	Medicaid fee schedule · outpatient · +1 other terms	7	$207	$207	—	—	—	$207 – $207
14	Medica fee schedule · outpatient · +5 other terms	5	$112	$121	$88	72%	—	$52 – $301
15	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	5	$180	$178	$4	2%	—	$170 – $180
16	Kaiser fee schedule · outpatient · +3 other terms	4	$294	$282	$112	40%	—	$152 – $523
17	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$51	$51	—	—	—	$51 – $51
18	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	4	$99	$116	$45	38%	—	$74 – $191
19	Wellmark facility · case rate · outpatient	3	$512	$450	$142	32%	—	$209 – $566
20	Tricare facility · fee schedule · outpatient	2	$117	$117	—	—	—	$117 – $117
21	Bcbs Id professional · fee schedule · outpatient	1	$115	$115	—	—	—	$115 – $115
22	Bcbs Mn fee schedule · outpatient	1	$222	$222	—	—	—	$222 – $222
23	Bcbs Nv fee schedule · outpatient	1	$71	$71	—	—	—	$71 – $71
24	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$98	$98	—	—	—	$98 – $98
25	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$79	$79	$9	11%	—	$70 – $87

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