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Child Prophylaxis (D1120) — National Rates

Negotiated reimbursement rates for D1120 across 39 states, sourced from CMS Transparency in Coverage data. 386 rate records.

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National Average Negotiated Rate
$74
386 rate records · 39 states
📊 Data updated monthly · Last refresh: March 2026

About D1120 — Child Prophylaxis

CDT Code D1120 covers Child Prophylaxis. The national average negotiated rate is $74. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D1120

North Dakota
$74
1 records
Oregon
$69
3 records
New York
$69
6 records

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Full National Breakdown

Median
$66
Low
$22
High
$723

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$74
Oregon$69
New York$69
Nevada$67
Washington$63

↓ Bottom 5

StateAvg Rate
Iowa$22
Idaho$22
Kansas$22
Missouri$22
Tennessee$22

All States — D1120 Average Rates

North Dakota
$74
Oregon
$69
New York
$69
Nevada
$67
Washington
$63
Arizona
$61
New Jersey
$54
California
$50
Louisiana
$50
Georgia
$49
Texas
$48
Wisconsin
$47
South Carolina
$46
New Mexico
$46
Florida
$44
Puerto Rico
$44
Maryland
$40
Colorado
$39
Indiana
$38
Pennsylvania
$36
Connecticut
$36
Delaware
$36
Michigan
$35
Rhode Island
$34
Nebraska
$33
Kentucky
$32
Ohio
$32
Massachusetts
$31
Oklahoma
$31
Illinois
$31
North Carolina
$30
West Virginia
$30
Wyoming
$28
Minnesota
$26
Iowa
$22
Idaho
$22
Kansas
$22
Missouri
$22
Tennessee
$22
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$74$74$74$741
Oregon$69$69$69$693
New York$69$61$34$1106
Nevada$67$64$54$7912
Washington$63$67$58$675
Arizona$61$59$59$759
New Jersey$54$56$38$636
California$50$53$22$7220
Louisiana$50$50$50$501
Georgia$49$48$48$5811
Texas$48$58$22$643
Wisconsin$47$47$47$483
South Carolina$46$42$26$8820
New Mexico$46$46$46$461
Florida$44$44$30$7213
Puerto Rico$44$44$44$442
Maryland$40$35$35$554
Colorado$39$39$39$3910
Indiana$38$33$33$517
Pennsylvania$36$36$36$377
Connecticut$36$36$36$361
Delaware$36$36$36$361
Michigan$35$33$33$403
Rhode Island$34$34$34$348
Nebraska$33$29$23$668
Kentucky$32$32$32$321
Ohio$32$30$22$443
Massachusetts$31$34$22$344
Oklahoma$31$31$31$311
Illinois$31$34$22$363
North Carolina$30$30$30$302
West Virginia$30$30$30$301
Wyoming$28$28$28$281
Minnesota$26$26$25$262
Iowa$22$22$22$2210
Idaho$22$22$22$221
Kansas$22$22$22$221
Missouri$22$22$22$222
Tennessee$22$22$22$221
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