Partial denture repair

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

Fix partial denture section

Payers reporting HCPCS D9120

Payer pricing summary

Low

$59

Average

$141

Median

$123

High

$503

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +9 other terms	71	$313	$256	$139	54%	—	$47 – $426
2	Molina facility · case rate · outpatient · +6 other terms	29	$89	$134	$81	60%	—	$37 – $338
3	UnitedHealthcare professional · fee schedule · outpatient · +11 other terms	27	$109	$113	$41	37%	—	$59 – $199
4	Aetna fee schedule · outpatient · +10 other terms	26	$79	$150	$149	99%	—	$36 – $619
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$63	$143	$141	98%	—	$52 – $570
6	Caresource facility · case rate · outpatient · +1 other terms	15	$53	$57	$13	23%	—	$36 – $90
7	Optum facility · case rate · outpatient · +1 other terms	13	$50	$71	$42	59%	—	$44 – $167
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms	11	$280	$289	$10	4%	—	$280 – $314
9	Highmark fee schedule · outpatient · +1 other terms	11	$116	$117	$12	10%	—	$107 – $242
10	Cigna professional · fee schedule · outpatient · +5 other terms	10	$54	$53	$2	4%	—	$48 – $54
11	Aetna Better Health facility · case rate · outpatient	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	Medicaid fee schedule · outpatient · +1 other terms	7	$159	$158	$3	2%	—	$150 – $159
14	Medica fee schedule · outpatient · +3 other terms	5	$97	$113	$68	60%	—	$63 – $237
15	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	5	$270	$239	$61	26%	—	$117 – $270
16	Kaiser fee schedule · outpatient · +1 other terms	4	$274	$264	$126	48%	—	$152 – $523
17	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$76	$76	—	—	—	$76 – $76
18	Wellmark facility · case rate · outpatient	3	$573	$503	$159	32%	—	$234 – $633
19	Bcbs Id professional · fee schedule · outpatient	1	$108	$108	—	—	—	$108 – $108
20	Bcbs Mn fee schedule · outpatient	1	$294	$294	—	—	—	$294 – $294
21	Bcbs Nv fee schedule · outpatient	1	$62	$62	—	—	—	$62 – $62
22	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$121	$121	—	—	—	$121 – $121
23	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$92	$92	$10	11%	—	$82 – $102
24	Bcbs Vt professional · fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
25	Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$90	$90	—	—	—	$90 – $90

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