Dental house call visit

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

Dental house call

Payers reporting HCPCS D9410

Payer pricing summary

Low

$26

Average

$169

Median

$133

High

$919

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +4 other terms	67	$256	$500	$318	64%	—	$100 – $898
2	Aetna fee schedule · outpatient · +5 other terms	20	$95	$171	$174	102%	—	$48 – $619
3	UnitedHealthcare professional · fee schedule · outpatient · +8 other terms	16	$158	$174	$72	41%	—	$51 – $333
4	Anthem facility · case rate · outpatient · +4 other terms	15	$58	$63	$15	23%	—	$39 – $98
5	Caresource facility · case rate · outpatient · +1 other terms	15	$59	$63	$14	23%	—	$39 – $100
6	Molina facility · case rate · outpatient · +1 other terms	15	$58	$63	$15	23%	—	$40 – $98
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	11	$365	$375	$10	3%	—	$365 – $389
8	Optum facility · case rate · outpatient · +1 other terms	11	$54	$60	$13	22%	—	$49 – $89
9	Cigna professional · fee schedule · outpatient · +3 other terms	10	$46	$51	$7	14%	—	$46 – $65
10	Highmark fee schedule · outpatient · +1 other terms	10	$113	$113	—	—	—	$113 – $113
11	Medicaid fee schedule · outpatient	7	$182	$182	—	—	—	$182 – $182
12	Kaiser fee schedule · outpatient · +1 other terms	4	$284	$273	$119	44%	—	$152 – $523
13	MultiPlan percent of total billed charges · outpatientfrom % of charges · +2 other terms	4	$146	$146	$13	9%	—	$127 – $164
14	Medica fee schedule · outpatient · +3 other terms	3	$83	$83	—	—	—	$83 – $83
15	Amerihealth Caritas professional · fee schedule · outpatient	2	$40	$40	$0	0%	—	$40 – $41
16	Bcbs Id professional · fee schedule · outpatient	1	$181	$181	—	—	—	$181 – $181
17	Bcbs Mn fee schedule · outpatient	1	$384	$384	—	—	—	$384 – $384
18	Bcbs Nv fee schedule · outpatient	1	$67	$67	—	—	—	$67 – $67
19	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$26	$26	—	—	—	$26 – $26
20	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$91	$91	$10	11%	—	$81 – $101
21	Bcbs Vt professional · fee schedule · outpatient	1	$133	$133	—	—	—	$133 – $133
22	Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$131	$131	—	—	—	$131 – $131
23	Excellus percent of total billed charges · bothfrom % of charges	1	$26	$26	—	—	—	$26 – $26
24	First Health professional · fee schedule · inpatient · +2 other terms	1	$129	$129	$14	11%	—	$116 – $143
25	Healthpartners facility · fee schedule · outpatient	1	$309	$309	—	—	—	$309 – $309

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