Palliative dental pain treatment

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

HC SUTURE OF GINGIVA

Payers reporting HCPCS D9110

Payer pricing summary

Low

Average

$173

Median

$109

High

$1.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +13 other terms	74	$225	$222	$121	54%	—	$42 – $379
2	Molina facility · case rate · outpatient · +7 other terms	30	$107	$134	$79	59%	—	$37 – $338
3	Aetna fee schedule · outpatient · +14 other terms	29	$79	$156	$126	81%	—	$25 – $619
4	UnitedHealthcare fee schedule · outpatient · +19 other terms	26	$63	$98	$79	80%	—	$11 – $323
5	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +7 other terms	20	$48	$147	$153	104%	—	$48 – $598
6	Anthem professional · fee schedule · outpatient · +8 other terms	17	$53	$87	$47	54%	—	$47 – $195
7	Caresource facility · case rate · outpatient · +2 other terms	15	$53	$57	$13	23%	—	$36 – $90
8	Optum facility · case rate · outpatient · +4 other terms	14	$51	$72	$41	57%	—	$44 – $167
9	Blue Cross Blue Shield facility · fee schedule · outpatient · +12 other terms	12	$1	$38	$111	289%	—	$0 – $389
10	Highmark fee schedule · outpatient · +5 other terms	11	$51	$53	$19	36%	—	$51 – $242
11	Cigna professional · fee schedule · outpatient · +12 other terms	10	$31	$32	$1	4%	—	$31 – $34
12	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$10	$10	—	—	—	$10 – $10
13	Aetna Better Health facility · case rate · outpatient · +2 other terms	7	$211	$208	$9	4%	—	$175 – $211
14	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$193	$196	$6	3%	—	$193 – $211
15	Medicaid fee schedule · outpatient · +2 other terms	7	$175	$175	—	—	—	$175 – $175
16	Medica fee schedule · outpatient · +3 other terms	5	$56	$41	$11	27%	—	$28 – $56
17	Kaiser fee schedule · outpatient · +1 other terms	4	$281	$270	$121	45%	—	$152 – $523
18	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$44	$44	—	—	—	$44 – $44
19	WellCare fee schedule · outpatient · +2 other terms	3	$231	$231	—	—	—	$231 – $231
20	Wellmark facility · case rate · outpatient	3	$573	$503	$159	32%	—	$234 – $633
21	Excellus fee schedule · outpatient · +6 other terms	2	$53	$53	$49	93%	—	$14 – $117
22	Bcbs Id professional · fee schedule · outpatient	1	$83	$83	—	—	—	$83 – $83
23	Bcbs La percent of total billed charges · outpatientfrom % of charges	1	$15	$15	—	—	—	$15 – $15
24	Bcbs Mn fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
25	Bcbs Nv fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38

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