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.
Original text from hospital filings
Fixed bilat space maint, man
Buffalo, NY
See all hospitals reporting HCPCS D1517 →Price type
Kaleida Health’s median price of $896 is 7% below the median hospital's median price ($966), higher than 46% of the 430 hospitals reporting HCPCS D1517. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare government fee schedule · outpatient | $767 | $767 | — | — | — | $767 – $767 |
| 2 | WellCare medicare managed care plan fee schedule · outpatient | $839 | $839 | — | — | — | $839 – $839 |
| 3 | Aetna medicare managed care plan fee schedule · outpatient | $855 | $855 | — | — | — | $855 – $855 |
| 4 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $876 | $876 | — | — | — | $876 – $876 |
| 5 | Blue Cross Blue Shield advantage - healthnow medicare managed care plan fee schedule · outpatient | $863 | $939 | $340 | 36% | — | $550 – $1.5k |
| 6 | Cigna mvp medicare managed care plan fee schedule · outpatient | $944 | $944 | — | — | — | $944 – $944 |
| 7 | Blue Cross Blue Shield healthnow standard exchange fee schedule · outpatient | $712 | $1.1k | $659 | 58% | — | $624 – $2.1k |
| 8 | Cigna mvp all commercial plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Blue Cross Blue Shield align - healthnow other commercial plan fee schedule · outpatient | $791 | $1.3k | $733 | 58% | — | $694 – $2.4k |
| 10 | Blue Cross Blue Shield healthnow ppo/traditional fee schedule · outpatient | $998 | $1.6k | $925 | 58% | — | $875 – $3.0k |
Last updated: Apr 1, 2026
See Fixed dental space maintainer for both sides, lower jaw pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.