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HCPCS D8703

REPLACE BROKEN RETAINER MAX

Reported by 6 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$134

Average

$196

Median

$195

High

$294

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$124$138$134$505$7
2Adventist Health Medical Center TehachapiTehachapi, CA$137$179$179$685$9
3Sonora Community HospitalSonora, CA$152$218$211$487$10
4Reedley Community HospitalReedley, CA$136$151$146$676$7
5Lodi Memorial Hospital Association IncLodi, CA$85$294$294$467—
6Willits Hospital IncWillits, CA$170$213$213$407—

Look up this code directly

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