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.
Original text from hospital filings
Occlusal orthotic appliance
Low
$1
Average
$1.2k
Median
$987
High
$7.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 payers; the 90th percentile is 5.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +9 other terms | 71 | $1.8k | $1.6k | $884 | 55% | — | $152 – $2.7k |
| 2 | Molina facility · case rate · outpatient · +8 other terms | 29 | $1.5k | $4.9k | $19.5k | 401% | — | $889 – $111.7k |
| 3 | UnitedHealthcare professional · fee schedule · outpatient · +14 other terms | 27 | $573 | $760 | $317 | 42% | — | $352 – $1.7k |
| 4 | Aetna fee schedule · outpatient · +12 other terms | 26 | $296 | $715 | $672 | 94% | — | $79 – $3.5k |
| 5 | Blue Cross Blue Shield facility · fee schedule · outpatient · +15 other terms | 20 | $1.0k | $1.5k | $1.1k | 74% | — | $87 – $3.4k |
| 6 | Anthem professional · fee schedule · outpatient · +6 other terms | 17 | $412 | $666 | $366 | 55% | — | $337 – $1.5k |
| 7 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 8 | Optum facility · case rate · outpatient · +2 other terms | 13 | $1.4k | $1.3k | $185 | 14% | — | $845 – $1.4k |
| 9 | Highmark fee schedule · outpatient · +4 other terms | 12 | $583 | $576 | $60 | 10% | — | $173 – $782 |
| 10 | Cigna professional · fee schedule · outpatient · +9 other terms | 10 | $359 | $350 | $16 | 5% | — | $314 – $359 |
| 11 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 7 | $1.1k | $1.1k | $37 | 4% | — | $927 – $1.1k |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +3 other terms | 7 | $978 | $991 | $31 | 3% | — | $978 – $1.1k |
| 13 | Medicaid fee schedule · outpatient · +1 other terms | 7 | $957 | $957 | — | — | — | $957 – $957 |
| 14 | MultiPlan percent of total billed charges · bothfrom % of charges · +5 other terms | 7 | $3.5k | $3.1k | $1.6k | 51% | — | $283 – $4.8k |
| 15 | Medica fee schedule · outpatient · +3 other terms | 5 | $922 | $807 | $349 | 43% | — | $422 – $1.2k |
| 16 | Kaiser fee schedule · outpatient · +1 other terms | 4 | $575 | $563 | $320 | 57% | — | $152 – $957 |
| 17 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $356 | $356 | — | — | — | $356 – $356 |
| 18 | Tricare facility · fee schedule · outpatient · +3 other terms | 3 | $536 | $1.5k | $1.3k | 91% | — | $536 – $3.4k |
| 19 | Wellmark facility · case rate · outpatient | 3 | $3.0k | $2.7k | $839 | 32% | — | $1.2k – $3.3k |
| 20 | Bcbs Vt professional · fee schedule · outpatient | 2 | $1.5k | $1.5k | $503 | 33% | — | $387 – $2.3k |
| 21 | Excellus fee schedule · outpatient · +1 other terms | 2 | $590 | $590 | — | — | — | $590 – $590 |
| 22 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 2 | $456 | $456 | — | — | — | $456 – $456 |
| 23 | Ambetter fee schedule · outpatient | 1 | $615 | $615 | — | — | — | $615 – $615 |
| 24 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Bcbs Mn fee schedule · outpatient | 1 | $366 | $366 | $160 | 44% | — | $128 – $513 |
← Hospitals reporting HCPCS D7880 · Snapshot 20261112T124536Z-e251e855