HCPCS D9939

Placement of removable dental appliance

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

Placemnt removable appliance

Payer pricing summary

Low

$18

Average

$135

Median

$123

High

$433

Payer rate distribution

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All methodologies Case rate 13 Fee schedule 11 Per diem 0 Percent of billed charges 6 Other 5

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#
1	Molina facility · case rate · outpatient · +4 other terms	28	$87	$132	$81	61%	—	$37 – $338
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	19	$44	$86	$58	67%	—	$44 – $273
3	UnitedHealthcare facility · case rate · outpatient · +4 other terms	17	$55	$68	$33	48%	—	$37 – $176
4	Anthem facility · case rate · outpatient · +3 other terms	15	$52	$57	$13	23%	—	$36 – $89
5	Caresource facility · case rate · outpatient · +1 other terms	15	$53	$57	$13	23%	—	$36 – $90
6	Optum facility · case rate · outpatient · +1 other terms	13	$50	$71	$42	59%	—	$44 – $167
7	Aetna fee schedule · outpatient · +5 other terms	11	$71	$130	$123	95%	—	$18 – $323
8	Cigna professional · fee schedule · outpatient · +2 other terms	8	$23	$23	—	—	—	$23 – $23
9	Aetna Better Health facility · case rate · outpatient	6	$211	$211	—	—	—	$211 – $211
10	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	6	$193	$193	—	—	—	$193 – $193
11	Humana facility · case rate · outpatient · +2 other terms	5	$176	$183	$9	5%	—	$176 – $193
12	Medica facility · fee schedule · outpatient · +1 other terms	2	$16	$16	$7	47%	—	$9 – $27
13	Medicaid facility · case rate · outpatient	2	$176	$176	—	—	—	$176 – $176
14	Wellmark facility · case rate · outpatient	2	$433	$433	$200	46%	—	$234 – $633
15	Bcbs Id professional · fee schedule · outpatient	1	$107	$107	—	—	—	$107 – $107
16	Bcbs Mn fee schedule · outpatient	1	$44	$44	—	—	—	$44 – $44
17	Highmark fee schedule · outpatient	1	$152	$152	$63	42%	—	$107 – $242
18	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges	1	$180	$180	—	—	—	$180 – $180
19	Oscar professional · percent of total billed charges · outpatientfrom % of charges	1	$51	$51	—	—	—	$51 – $51
20	WellCare facility · case rate · outpatient	1	$176	$176	—	—	—	$176 – $176