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
Teledentistry real-time
Pittsfield, ME
See all hospitals reporting HCPCS D9995 →Price type
Sebasticook Valley Health’s median price of $33 is 43% below the median hospital's median price ($57), higher than 25% of the 158 hospitals reporting HCPCS D9995. 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 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Aetna commercial professional · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 3 | UnitedHealthcare commercial professional · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 4 | Anthem commercial professional · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 5 | Anthem enhanced pathways professional · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
Last updated: Mar 30, 2026
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