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.
Generation details were not recorded for this description.
Original text from hospital filings
ODONTOPLASTY 1 - 2 TEETH; INCLUDES REMOVAL OF ENAMEL PROJECTIONS
35 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +9 other terms | 71 | $207.81 | $178.06 | $31.30 – $338.71 |
| 2 | Molina facility · case rate · outpatient · +7 other terms | 28 | $86.78 | $134.31 | $36.61 – $338.27 |
| 3 | Aetna fee schedule · outpatient · +9 other terms | 26 | $70.50 | $110.46 | $26.13 – $619.49 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 22 | $149.51 | $339.01 | $0.29 – $4,550 |
| 5 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 21 | $65.99 | $91.50 | $30.63 – $322.58 |
| 6 | Anthem professional · fee schedule · outpatient · +6 other terms | 16 | $38.00 | $58.27 | $33.00 – $145.36 |
| 7 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $53.24 | $57.17 | $35.55 – $90.32 |
| 8 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 14 | $136.85 | $5,724 | $101.64 – $78,391 |
| 9 | Optum facility · case rate · outpatient · +2 other terms | 13 | $50.32 | $71.48 | $44.44 – $166.94 |
| 10 | Highmark fee schedule · outpatient · +1 other terms | 11 | $38.85 | $41.86 | $38.85 – $241.56 |
| 11 | Cigna professional · fee schedule · outpatient · +8 other terms | 10 | $41.52 | $40.18 | $35.29 – $41.52 |
| 12 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $28.98 | $28.98 | $28.98 – $28.98 |
| 13 | Medcost percent of total billed charges · bothfrom % of charges | 8 | $1,296 | $1,296 | $1,222 – $1,370 |
| 14 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 7 | $210.88 | $207.71 | $175.24 – $210.88 |
| 15 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $193.30 | $195.81 | $193.30 – $210.89 |
| 16 | Medicaid fee schedule · outpatient · +1 other terms | 7 | $179.00 | $179.00 | $179.00 – $179.00 |
| 17 | Medica fee schedule · outpatient · +2 other terms | 5 | $74.90 | $80.67 | $48.84 – $153.00 |
| 18 | Tricare facility · fee schedule · outpatient · +1 other terms | 5 | $50,000 | $50,000 | $50,000 – $50,000 |
| 19 | Kaiser fee schedule · outpatient · +1 other terms | 4 | $282.63 | $271.56 | $152.00 – $523.31 |
| 20 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $50.82 | $50.82 | $50.82 – $50.82 |
| 21 | Wellmark facility · case rate · outpatient | 3 | $573.00 | $503.06 | $233.60 – $632.63 |
| 22 | First Health facility · other · outpatient · +5 other terms | 2 | $44,531 | $44,531 | $35,000 – $54,063 |
| 23 | Ambetter fee schedule · outpatient | 1 | $71.44 | $71.44 | $71.44 – $71.44 |
| 24 | Bcbs Mn fee schedule · outpatient | 1 | $148.94 | $148.94 | $148.94 – $148.94 |
| 25 | Bcbs Nv fee schedule · outpatient | 1 | $47.03 | $47.03 | $46.72 – $48.27 |
← Hospitals reporting HCPCS D9971 · Snapshot 20261108T055240Z-43b7dac7