HCPCS D9955

Oral appliance therapy titration 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

Oral app thxpy titration vis

Payer pricing summary

Low

$24

Average

$204

Median

$90

High

$810

Payer rate distribution

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All methodologies Case rate 13 Fee schedule 11 Per diem 0 Percent of billed charges 10 Other 5

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#
1	Molina facility · case rate · outpatient · +4 other terms	28	$622	$466	$390	84%	—	$71 – $1.3k
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	19	$90	$63	$33	53%	—	$19 – $90
3	UnitedHealthcare facility · case rate · outpatient · +5 other terms	17	$753	$749	$309	41%	—	$64 – $1.3k
4	Anthem facility · case rate · outpatient · +3 other terms	15	$758	$829	$195	23%	—	$516 – $1.3k
5	Caresource facility · case rate · outpatient · +2 other terms	15	$773	$830	$190	23%	—	$516 – $1.3k
6	Optum facility · case rate · outpatient · +1 other terms	13	$686	$677	$302	45%	—	$78 – $1.2k
7	Aetna fee schedule · outpatient · +6 other terms	11	$95	$110	$81	74%	—	$24 – $317
8	Cigna professional · fee schedule · outpatient · +2 other terms	8	$31	$31	—	—	—	$31 – $31
9	Aetna Better Health facility · case rate · outpatient · +1 other terms	6	$98	$98	—	—	—	$98 – $98
10	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	6	$90	$90	—	—	—	$90 – $90
11	Humana facility · case rate · outpatient · +2 other terms	5	$82	$85	$4	5%	—	$82 – $90
12	Medica facility · fee schedule · outpatient · +1 other terms	2	$21	$21	$10	47%	—	$12 – $36
13	Medicaid facility · case rate · outpatient	2	$82	$82	—	—	—	$82 – $82
14	Wellmark facility · case rate · outpatient	2	$236	$236	$109	46%	—	$127 – $345
15	Bcbs Id professional · fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
16	Bcbs Mn fee schedule · outpatient	1	$90	$90	—	—	—	$90 – $90
17	Highmark fee schedule · outpatient · +1 other terms	1	$76	$76	$32	42%	—	$54 – $121
18	MultiPlan percent of total billed charges · bothfrom % of charges · +1 other terms	1	$101	$101	—	—	—	$101 – $101
19	Oscar professional · percent of total billed charges · outpatientfrom % of charges	1	$38	$38	—	—	—	$38 – $38
20	Tricare percent of total billed charges · bothfrom % of charges	1	$62	$62	—	—	—	$62 – $62
21	WellCare facility · case rate · outpatient	1	$82	$82	—	—	—	$82 – $82