Dental evaluation with moderate or deep sedation or general anesthesia

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

Eval for deep sed/gen anesth

Payers reporting HCPCS D9219

Payer pricing summary

Low

$18

Average

$192

Median

$98

High

$858

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +5 other terms	29	$531	$454	$389	86%	—	$71 – $1.3k
2	Aetna fee schedule · outpatient · +4 other terms	20	$34	$91	$94	104%	—	$16 – $387
3	UnitedHealthcare facility · case rate · outpatient · +6 other terms	18	$745	$680	$355	52%	—	$64 – $1.3k
4	Anthem facility · case rate · outpatient · +5 other terms	15	$758	$829	$195	23%	—	$516 – $1.3k
5	Caresource facility · case rate · outpatient · +1 other terms	15	$773	$830	$190	23%	—	$516 – $1.3k
6	Optum facility · case rate · outpatient	13	$686	$677	$302	45%	—	$78 – $1.2k
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	11	$114	$124	$23	18%	—	$114 – $191
8	Highmark fee schedule · outpatient · +1 other terms	11	$32	$33	$9	27%	—	$32 – $121
9	Cigna professional · fee schedule · outpatient	10	$62	$54	$11	19%	—	$39 – $62
10	Humana facility · case rate · outpatient · +2 other terms	8	$82	$85	$4	5%	—	$82 – $90
11	Aetna Better Health facility · case rate · outpatient	7	$98	$98	$1	1%	—	$94 – $98
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$90	$91	$3	3%	—	$90 – $98
13	Medica fee schedule · outpatient · +2 other terms	3	$111	$111	—	—	—	$111 – $111
14	Wellmark facility · case rate · outpatient	3	$312	$274	$86	32%	—	$127 – $345
15	Medicaid facility · case rate · outpatient	2	$82	$82	—	—	—	$82 – $82
16	Bcbs Id professional · fee schedule · outpatient	1	$98	$98	—	—	—	$98 – $98
17	Bcbs Mn fee schedule · outpatient	1	$119	$119	—	—	—	$119 – $119
18	Bcbs Nv fee schedule · outpatient	1	$46	$46	—	—	—	$46 – $46
19	Bcbs Vt professional · fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18
20	Regence facility · fee schedule · outpatient	1	$81	$81	—	—	—	$81 – $81
21	WellCare facility · case rate · outpatient	1	$82	$82	—	—	—	$82 – $82