HCPCS D9939
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.
Original text from hospital filings
Placemnt removable appliance
Low
$18
Average
$125
Median
$79
High
$337
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 13.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms | 19 | $44 | $86 | $58 | 67% | — | $44 – $273 |
| 2 | UnitedHealthcare professional · fee schedule · outpatient · +1 other terms | 14 | $49 | $58 | $21 | 36% | — | $25 – $115 |
| 3 | Aetna fee schedule · outpatient · +2 other terms | 11 | $71 | $130 | $123 | 95% | — | $18 – $323 |
| 4 | Cigna professional · fee schedule · outpatient | 8 | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Anthem fee schedule · outpatient | 4 | $321 | $321 | $1 | 0% | — | $321 – $323 |
| 6 | Humana fee schedule · outpatient | 4 | $337 | $337 | $1 | 0% | — | $337 – $339 |
| 7 | Medica facility · fee schedule · outpatient · +1 other terms | 2 | $16 | $16 | $7 | 47% | — | $9 – $27 |
| 8 | Bcbs Id professional · fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 9 | Bcbs Mn fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 10 | Highmark fee schedule · outpatient | 1 | $152 | $152 | $63 | 42% | — | $107 – $242 |
| 11 | Molina fee schedule · outpatient | 1 | $152 | $152 | $63 | 42% | — | $107 – $242 |
← Hospitals reporting HCPCS D9939 · Snapshot 20261113T090226Z-3ce6c0b8