Dental case management for special needs patients

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

HB Dental Case Mngmt Special Healthcare

Payers reporting HCPCS D9997

Payer pricing summary

Low

Average

$67

Median

$58

High

$271

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Highmark percent of total billed charges · outpatientfrom % of charges	1	$29	$29	—	—	1–10	$29 – $29
2	Molina facility · case rate · outpatient · +5 other terms	30	$51	$63	$43	68%	—	$14 – $182
3	Aetna fee schedule · outpatient · +6 other terms	20	$19	$55	$61	111%	—	$12 – $174
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	20	$108	$112	$98	88%	—	$33 – $401
5	UnitedHealthcare professional · fee schedule · outpatient · +7 other terms	18	$33	$39	$13	34%	—	$17 – $76
6	Anthem facility · case rate · outpatient · +5 other terms	16	$20	$102	$310	305%	—	$13 – $1.3k
7	Caresource facility · case rate · outpatient · +1 other terms	15	$20	$22	$5	23%	—	$13 – $34
8	Optum facility · case rate · outpatient · +1 other terms	14	$19	$31	$20	67%	—	$17 – $76
9	Cigna professional · fee schedule · outpatient · +3 other terms	8	$15	$15	—	—	—	$15 – $15
10	Humana facility · case rate · outpatient · +2 other terms	8	$80	$83	$4	5%	—	$80 – $88
11	Aetna Better Health facility · case rate · outpatient	7	$96	$95	$1	1%	—	$92 – $96
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$88	$89	$3	3%	—	$88 – $96
13	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms	4	$135	$135	—	—	—	$135 – $135
14	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$38	$38	—	—	—	$38 – $38
15	Medica fee schedule · outpatient · +2 other terms	3	$28	$28	—	—	—	$28 – $28
16	Wellmark facility · case rate · outpatient	3	$309	$271	$85	32%	—	$126 – $341
17	Excellus fee schedule · outpatient · +1 other terms	2	$16	$16	$14	85%	—	$4 – $34
18	Medicaid facility · case rate · outpatient	2	$80	$80	—	—	—	$80 – $80
19	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
20	Bcbs Mn fee schedule · outpatient	1	$33	$33	—	—	—	$33 – $33
21	First Health facility · case rate · outpatient · +2 other terms	1	$52	$52	—	—	—	$52 – $52
22	WellCare facility · case rate · outpatient	1	$80	$80	—	—	—	$80 – $80