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
Prev resin rest- perm tooth
Pittsfield, ME
See all hospitals reporting HCPCS D1352 →Price type
Sebasticook Valley Health’s median price of $35 is 60% below the median hospital's median price ($89), higher than 17% of the 230 hospitals reporting HCPCS D1352. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 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 | Cigna commercial professional · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Anthem commercial professional · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Anthem enhanced pathways professional · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 4 | Aetna commercial professional · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 5 | UnitedHealthcare commercial professional · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
Last updated: Mar 30, 2026
See Preventive resin restoration on a permanent tooth pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.