Jaw motion rehabilitation device

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

Jaw motion rehab system

Payers reporting HCPCS E1700

Payer pricing summary

Low

Average

$221

Median

$139

High

$1.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +10 other terms	247	$49	$71	$73	102%	—	$31 – $332
2	Aetna fee schedule · outpatient · +9 other terms	236	$46	$102	$309	303%	—	$18 – $3.6k
3	UnitedHealthcare fee schedule · outpatient · +13 other terms	231	$46	$76	$66	87%	—	$20 – $345
4	WellCare fee schedule · outpatient · +2 other terms	169	$47	$46	$8	17%	—	$41 – $82
5	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	167	$50	$110	$231	210%	—	$0 – $1.7k
6	Devoted fee schedule · outpatient · +1 other terms	151	$46	$44	$3	8%	—	$42 – $52
7	Cigna Healthspring fee schedule · outpatient	104	$46	$44	$4	9%	—	$42 – $53
8	Molina fee schedule · outpatient · +3 other terms	89	$62	$59	$23	39%	—	$35 – $109
9	Cigna fee schedule · outpatient · +7 other terms	69	$51	$80	$187	234%	—	$41 – $1.4k
10	Superior Healthplan fee schedule · outpatient	39	$44	$44	—	—	—	$44 – $44
11	Anthem fee schedule · outpatient · +6 other terms	34	$46	$47	$6	13%	—	$43 – $80
12	Clover fee schedule · outpatient	32	$42	$44	$4	8%	—	$41 – $52
13	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$39	$39	$12	29%	—	$29 – $143
14	Kaiser fee schedule · outpatient · +4 other terms	24	$47	$46	$1	3%	—	$44 – $47
15	Optum fee schedule · outpatient · +3 other terms	24	$45	$53	$19	36%	—	$42 – $104
16	Oscar fee schedule · outpatient · +1 other terms	24	$41	$45	$5	12%	—	$41 – $52
17	Amerihealth Caritas fee schedule · outpatient	16	$59	$58	$1	2%	—	$56 – $59
18	Caresource fee schedule · outpatient · +3 other terms	15	$49	$49	—	—	—	$49 – $49
19	Medicare fee schedule · outpatient	15	$44	$42	$2	5%	—	$40 – $45
20	Wellmark fee schedule · both · +1 other terms	13	$234	$234	$192	82%	—	$35 – $459
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$452	$458	$119	26%	—	$228 – $550
22	Bcbs Nj fee schedule · outpatient	12	$41	$88	$60	68%	—	$41 – $181
23	Highmark fee schedule · outpatient · +3 other terms	10	$103	$105	$122	117%	—	$19 – $338
24	Medica fee schedule · outpatient · +6 other terms	10	$638	$608	$204	34%	—	$77 – $823
25	Medical Mutual fee schedule · outpatient · +1 other terms	9	$75	$75	—	—	—	$75 – $75

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