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
Sealant repair per tooth
Boscobel, WI
See all hospitals reporting HCPCS D1353 →Price type
Memorial Hospital of Boscobel’s median price of $110 is 133% above the median hospital's median price ($47), higher than 81% of the 171 hospitals reporting HCPCS D1353. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Jun 27, 2026
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