3D Surface Scan — Post-Restorative (D0804) — National Rates

Negotiated reimbursement rates for D0804 across 3 states, sourced from CMS Transparency in Coverage data. 21 rate records.

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National Average Negotiated Rate
$93
21 rate records · 3 states
📊 Data updated monthly · Last refresh: March 2026

About D0804 — 3D Surface Scan — Post-Restorative

CDT Code D0804 covers 3D Surface Scan — Post-Restorative. The national average negotiated rate is $93. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D0804

Nevada
$101
13 records
California
$82
2 records
Utah
$70
4 records

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Full National Breakdown

Median
$80
Low
$67
High
$128

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Nevada$101
California$82
Utah$70

↓ Bottom 5

StateAvg Rate
Nevada$101
California$82
Utah$70

All States — D0804 Average Rates

Nevada
$101
California
$82
Utah
$70
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Nevada$101$104$67$12813
California$82$82$80$832
Utah$70$70$70$704
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