Removal of tissue around an implant

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

Debridement of a periimplant

Payers reporting HCPCS D6101

Payer pricing summary

Low

$93

Average

$358

Median

$221

High

$1.2k

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +8 other terms	30	$134	$184	$205	111%	—	$37 – $955
2	Aetna fee schedule · outpatient · +10 other terms	24	$110	$255	$240	94%	—	$69 – $955
3	UnitedHealthcare professional · fee schedule · outpatient · +11 other terms	23	$195	$260	$93	36%	—	$132 – $431
4	Anthem facility · case rate · outpatient · +6 other terms	15	$52	$57	$13	23%	—	$36 – $89
5	Caresource facility · case rate · outpatient · +2 other terms	15	$53	$57	$13	23%	—	$36 – $90
6	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	13	$1.2k	$1.5k	$662	44%	—	$1.2k – $3.5k
7	Optum facility · case rate · outpatient · +1 other terms	13	$50	$71	$42	59%	—	$44 – $167
8	Highmark fee schedule · outpatient · +2 other terms	11	$226	$224	$16	7%	—	$107 – $242
9	Humana fee schedule · outpatient · +6 other terms	11	$496	$387	$135	35%	—	$147 – $566
10	Cigna professional · fee schedule · outpatient · +2 other terms	10	$122	$113	$13	12%	—	$94 – $122
11	Aetna Better Health facility · case rate · outpatient · +1 other terms	7	$211	$208	$9	4%	—	$175 – $211
12	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$193	$196	$6	3%	—	$193 – $211
13	Medica fee schedule · outpatient · +4 other terms	5	$223	$307	$210	68%	—	$144 – $728
14	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +3 other terms	4	$810	$810	—	—	—	$810 – $810
15	Oscar professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms	4	$229	$229	—	—	—	$229 – $229
16	Wellmark facility · case rate · outpatient · +1 other terms	3	$573	$503	$159	32%	—	$234 – $633
17	Healthpartners facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$162	$162	$35	22%	—	$122 – $207
18	Medicaid facility · case rate · outpatient	2	$176	$176	—	—	—	$176 – $176
19	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$207	$207	—	—	—	$207 – $207
20	Bcbs Id professional · fee schedule · outpatient	1	$220	$220	—	—	—	$220 – $220
21	Bcbs Mn fee schedule · outpatient	1	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
22	Bcbs Nv fee schedule · outpatient	1	$111	$111	—	—	—	$111 – $111
23	Bcbs Vt professional · fee schedule · outpatient	1	$150	$150	—	—	—	$150 – $150
24	Regence facility · fee schedule · outpatient	1	$194	$194	—	—	—	$194 – $194
25	Tricare percent of total billed charges · bothfrom % of charges	1	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

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