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
Replace broken retainer max
Pittsfield, ME
See all hospitals reporting HCPCS D8703 →Price type
Sebasticook Valley Health’s median price of $200 is 13% below the median hospital's median price ($231), higher than 40% of the 164 hospitals reporting HCPCS D8703. 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 | $117 | $117 | — | — | — | $117 – $117 |
| 2 | Aetna commercial professional · fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 3 | UnitedHealthcare commercial professional · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 4 | Anthem commercial professional · fee schedule · outpatient | $366 | $366 | — | — | — | $366 – $366 |
| 5 | Anthem enhanced pathways professional · fee schedule · outpatient | $366 | $366 | — | — | — | $366 – $366 |
Last updated: Mar 30, 2026
See Replacing a broken dental retainer pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.