Cone Beam CT — Limited Field (<1 Jaw) (D0364) — National Rates

Negotiated reimbursement rates for D0364 across 9 states, sourced from CMS Transparency in Coverage data. 69 rate records.

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National Average Negotiated Rate
$264
69 rate records · 9 states
📊 Data updated monthly · Last refresh: March 2026

About D0364 — Cone Beam CT — Limited Field (<1 Jaw)

Cone Beam CT — Limited Field (<1 Jaw) is a specialized imaging technique that provides three-dimensional views of dental structures. It is typically used for complex cases requiring detailed anatomical information, such as implant planning or assessing jaw pathology. Documentation must include the clinical indications for the imaging and any relevant patient history. Average reimbursement for this procedure is approximately $264, but payor policies can vary significantly, affecting coverage and reimbursement rates.

Reimbursement rates for D0364 vary significantly by state, payor, and provider network. The national average negotiated rate is $264. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D0364

Utah
$488
2 records
Nevada
$385
16 records
Arizona
$328
4 records

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Full National Breakdown

Median
$188
Low
$100
High
$507

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Utah$488
Nevada$385
Arizona$328
California$254
New York$211

↓ Bottom 5

StateAvg Rate
New York$211
Texas$188
Vermont$186
Wisconsin$186
South Carolina$176

All States — D0364 Average Rates

Utah
$488
Nevada
$385
Arizona
$328
California
$254
New York
$211
Texas
$188
Vermont
$186
Wisconsin
$186
South Carolina
$176
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Utah$488$488$469$5072
Nevada$385$441$188$48516
Arizona$328$328$188$4694
California$254$254$188$3204
New York$211$186$171$50034
Texas$188$188$188$1881
Vermont$186$186$186$1861
Wisconsin$186$186$186$1861
South Carolina$176$176$143$2102
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