Dental therapeutic drug injection

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

HB IV Medication

Payers reporting HCPCS D9610

Payer pricing summary

Low

$11

Average

$74

Median

$39

High

$851

Payer rate distribution

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Filter by billing class

#
1	Molina facility · case rate · outpatient · +6 other terms	29	$39	$43	$11	25%	—	$29 – $74
2	Aetna fee schedule · outpatient · +7 other terms	24	$21	$38	$29	77%	—	$7 – $96
3	UnitedHealthcare professional · fee schedule · outpatient · +9 other terms	22	$20	$28	$12	44%	—	$16 – $64
4	Anthem facility · case rate · outpatient · +5 other terms	15	$41	$45	$11	23%	—	$28 – $70
5	Caresource facility · case rate · outpatient · +1 other terms	15	$42	$45	$10	23%	—	$28 – $71
6	Optum facility · case rate · outpatient	13	$37	$41	$10	24%	—	$31 – $63
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	11	$93	$125	$88	70%	—	$93 – $389
8	Highmark fee schedule · outpatient · +1 other terms	11	$42	$43	$6	14%	—	$42 – $107
9	Humana fee schedule · outpatient · +7 other terms	11	$63	$54	$21	39%	—	$14 – $74
10	Cigna professional · fee schedule · outpatient · +5 other terms	10	$15	$14	$3	20%	—	$10 – $15
11	Aetna Better Health facility · case rate · outpatient	7	$39	$39	$0	1%	—	$37 – $39
12	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$36	$36	$1	3%	—	$36 – $39
13	Medica fee schedule · outpatient · +2 other terms	5	$28	$42	$37	88%	—	$18 – $110
14	Wellmark facility · case rate · outpatient	3	$125	$109	$34	32%	—	$51 – $138
15	Excellus fee schedule · outpatient	2	$35	$35	$33	93%	—	$9 – $78
16	Medicaid facility · case rate · outpatient	2	$32	$32	—	—	—	$32 – $32
17	Bcbs Id professional · fee schedule · outpatient	1	$24	$24	—	—	—	$24 – $24
18	Bcbs Mn fee schedule · outpatient	1	$99	$99	—	—	—	$99 – $99
19	Bcbs Nv fee schedule · outpatient	1	$11	$11	—	—	—	$11 – $11
20	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$40	$40	$5	11%	—	$35 – $44
21	Bcbs Vt professional · fee schedule · outpatient	1	$14	$14	—	—	—	$14 – $14
22	Regence facility · fee schedule · outpatient	1	$20	$20	—	—	—	$20 – $20
23	Tricare professional · percent of total billed charges · outpatientfrom % of charges	1	$43	$43	—	—	—	$43 – $43
24	WellCare facility · case rate · outpatient	1	$32	$32	—	—	—	$32 – $32