Dental desensitizing medication application

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

Dent appl desensitizing med

Payers reporting HCPCS D9910

Payer pricing summary

Low

Average

$131

Median

$59

High

$1.5k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +10 other terms	71	$127	$110	$75	68%	—	$19 – $339
2	Molina facility · case rate · outpatient · +7 other terms	29	$89	$135	$81	60%	—	$37 – $338
3	Aetna fee schedule · outpatient · +11 other terms	26	$35	$99	$137	138%	—	$11 – $619
4	UnitedHealthcare professional · fee schedule · outpatient · +13 other terms	23	$30	$36	$13	35%	—	$15 – $70
5	Anthem professional · fee schedule · outpatient · +6 other terms	17	$25	$39	$21	53%	—	$21 – $87
6	Caresource facility · case rate · outpatient · +1 other terms	15	$53	$57	$13	23%	—	$36 – $90
7	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms	13	$31	$34	$8	24%	—	$31 – $62
8	Optum facility · case rate · outpatient · +2 other terms	13	$50	$71	$42	59%	—	$44 – $167
9	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	11	$93	$124	$88	71%	—	$93 – $389
10	Highmark fee schedule · outpatient · +1 other terms	11	$35	$38	$22	57%	—	$35 – $242
11	Cigna professional · fee schedule · outpatient · +6 other terms	10	$14	$14	$0	3%	—	$14 – $15
12	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$7	$7	—	—	—	$7 – $7
13	Aetna Better Health facility · case rate · outpatient	7	$211	$208	$9	4%	—	$175 – $211
14	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$193	$196	$6	3%	—	$193 – $211
15	Medicaid fee schedule · outpatient · +1 other terms	7	$135	$219	$223	102%	—	$135 – $810
16	Medica fee schedule · outpatient · +3 other terms	5	$25	$29	$17	57%	—	$17 – $59
17	Kaiser fee schedule · outpatient · +1 other terms	4	$264	$255	$134	52%	—	$135 – $523
18	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$19	$19	—	—	—	$19 – $19
19	Wellmark facility · case rate · outpatient	3	$573	$503	$159	32%	—	$234 – $633
20	Bcbs Id professional · fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38
21	Bcbs Mn fee schedule · outpatient	1	$97	$97	—	—	—	$97 – $97
22	Bcbs Nv fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18
23	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$41	$41	—	—	—	$41 – $41
24	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$24	$24	$3	11%	—	$21 – $26
25	Bcbs Vt professional · fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25

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