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
The hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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56 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $139.80 | $139.80 – $139.80 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $139.62 | $139.62 – $139.62 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $97.68 | $97.68 – $97.68 |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $41.52 | $41.52 – $41.52 |
| 5 | Bon Secours Community Hospital Jervis, NY facility · case rate · outpatient | 1 | $5,853 | $5,853 – $5,853 |
| 6 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 1 | $101.00 | $101.00 – $101.00 |
| 7 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $41.52 | $41.52 – $41.52 |
| 8 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $39.71 | $39.71 – $39.71 |
| 9 | Duke Regional Hospital Durham, NC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $78.60 | $78.60 – $78.60 |
| 10 | Duke Regional Hospital Durham, NC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $78.60 | $78.60 – $78.60 |
| 11 | Duke University Hospital Durham, NC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $78.60 | $78.60 – $78.60 |
| 12 | Duke University Hospital Durham, NC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $78.60 | $78.60 – $78.60 |
| 13 | Duke University Hospital Raleigh, NC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $78.60 | $78.60 – $78.60 |
| 14 | Duke University Hospital Raleigh, NC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $78.60 | $78.60 – $78.60 |
| 15 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $41.52 | $41.52 – $41.52 |
| 16 | Good Samaritan Hospital Suffern, NY facility · case rate · outpatient | 1 | $5,853 | $5,853 – $5,853 |
| 17 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $140.54 | $128.80 – $146.41 |
| 18 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $145.57 | $128.80 – $153.96 |
| 19 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $145.69 | $145.69 – $145.69 |
| 20 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $145.57 | $128.80 – $153.96 |
| 21 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $145.69 | $145.69 – $145.69 |
| 22 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $145.57 | $128.80 – $153.96 |
| 23 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $145.69 | $145.69 – $145.69 |
| 24 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $144.72 | $144.72 – $144.72 |
| 25 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $145.57 | $128.80 – $153.96 |
← Payers reporting HCPCS D9971 · Snapshot 20261108T055240Z-43b7dac7