Dental stress breaker

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

Stress breaker

Payers reporting HCPCS D6940

Payer pricing summary

Low

$66

Average

$790

Median

$235

High

$8.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +5 other terms	70	$388	$648	$402	62%	—	$134 – $1.2k
2	Molina facility · case rate · outpatient · +5 other terms	30	$854	$4.2k	$19.3k	461%	—	$66 – $111.7k
3	Aetna fee schedule · outpatient · +8 other terms	22	$124	$228	$232	101%	—	$76 – $1.0k
4	UnitedHealthcare professional · fee schedule · outpatient · +9 other terms	20	$205	$250	$86	35%	—	$103 – $474
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$158	$276	$162	59%	—	$145 – $650
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	$467	40%	—	$63 – $1.4k
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	11	$2.0k	$2.0k	$1.3k	63%	—	$155 – $4.2k
9	Highmark fee schedule · outpatient · +1 other terms	11	$233	$231	$17	7%	—	$105 – $237
10	Cigna professional · fee schedule · outpatient · +4 other terms	10	$95	$98	$4	4%	—	$95 – $104
11	Aetna Better Health facility · case rate · outpatient	7	$80	$79	$1	1%	—	$76 – $80
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$73	$74	$2	3%	—	$73 – $80
13	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms	5	$630	$575	$110	19%	—	$354 – $630
14	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$178	$178	—	—	—	$178 – $178
15	Medica fee schedule · outpatient · +3 other terms	3	$174	$174	—	—	—	$174 – $174
16	Wellmark facility · case rate · outpatient	3	$253	$222	$70	32%	—	$103 – $279
17	Medicaid facility · case rate · outpatient	2	$66	$66	—	—	—	$66 – $66
18	Bcbs Id professional · fee schedule · outpatient	1	$235	$235	—	—	—	$235 – $235
19	Bcbs Mn fee schedule · outpatient	1	$2.6k	$2.6k	$1.1k	44%	—	$918 – $3.7k
20	Bcbs Nv fee schedule · outpatient	1	$120	$120	—	—	—	$120 – $120
21	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$341	$341	—	—	—	$341 – $341
22	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$171	$171	$19	11%	—	$152 – $190
23	Bcbs Vt professional · fee schedule · outpatient	1	$167	$167	—	—	—	$167 – $167
24	Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$271	$271	—	—	—	$271 – $271
25	Excellus percent of total billed charges · bothfrom % of charges	1	$341	$341	—	—	—	$341 – $341

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