Space Maintainer — Removable, Bilateral (Mandibular) (D1527) — National Rates

Negotiated reimbursement rates for D1527 across 48 states, sourced from CMS Transparency in Coverage data. 538 rate records.

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National Average Negotiated Rate
$379
538 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D1527 — Space Maintainer — Removable, Bilateral (Mandibular)

D1527 refers to a removable bilateral space maintainer for the mandibular arch, typically used in pediatric dentistry. This device is crucial for maintaining space in the dental arch after the premature loss of primary teeth, preventing adjacent teeth from drifting and ensuring proper alignment for future permanent teeth. Clinical indications include the loss of one or more primary molars due to caries or trauma. Documentation for this procedure should include the reason for space maintenance, a clinical examination, and any radiographic evidence of tooth loss. Reimbursement for D1527 can vary significantly by payor and state, with average fees around $379. Some insurance plans may cover this procedure under preventive services, while others may classify it as a restorative service, impacting patient out-of-pocket costs.

Reimbursement rates for D1527 vary significantly by state, payor, and provider network. The national average negotiated rate is $379. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D1527

Washington
$501
8 records
Connecticut
$489
27 records
Oregon
$484
21 records

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Full National Breakdown

Median
$367
Low
$73
High
$643

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Washington$501
Connecticut$489
Oregon$484
Florida$458
New Hampshire$433

↓ Bottom 5

StateAvg Rate
Montana$247
Hawaii$240
Alabama$210
Nebraska$194
Iowa$158

All States — D1527 Average Rates

Washington
$501
Connecticut
$489
Oregon
$484
Florida
$458
New Hampshire
$433
Colorado
$420
New York
$416
District of Columbia
$414
California
$410
Arizona
$406
South Dakota
$400
New Mexico
$398
Massachusetts
$396
Indiana
$394
Puerto Rico
$391
Nevada
$388
Michigan
$386
Alaska
$380
Georgia
$380
Maryland
$377
Utah
$370
New Jersey
$358
Ohio
$355
Texas
$355
North Carolina
$347
Kentucky
$346
Mississippi
$343
Illinois
$343
Missouri
$329
Virginia
$329
North Dakota
$329
Wisconsin
$326
Pennsylvania
$325
Delaware
$321
South Carolina
$316
Oklahoma
$309
Minnesota
$307
Rhode Island
$300
Idaho
$286
Kansas
$285
Louisiana
$274
West Virginia
$271
Tennessee
$264
Montana
$247
Hawaii
$240
Alabama
$210
Nebraska
$194
Iowa
$158
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Washington$501$509$332$6438
Connecticut$489$514$300$51427
Oregon$484$456$200$60521
Florida$458$418$300$58730
New Hampshire$433$429$429$4464
Colorado$420$473$247$4789
New York$416$442$246$56038
District of Columbia$414$409$291$5335
California$410$423$218$55658
Arizona$406$389$363$47016
South Dakota$400$400$400$4001
New Mexico$398$384$357$4543
Massachusetts$396$400$300$4844
Indiana$394$394$394$3941
Puerto Rico$391$391$339$4432
Nevada$388$380$220$55813
Michigan$386$386$333$4392
Alaska$380$380$371$3892
Georgia$380$392$246$46210
Maryland$377$409$277$48419
Utah$370$363$310$50412
New Jersey$358$354$218$44944
Ohio$355$350$297$4427
Texas$355$337$200$51630
North Carolina$347$339$266$44525
Kentucky$346$346$346$3462
Mississippi$343$343$343$3431
Illinois$343$328$302$4567
Missouri$329$322$220$45215
Virginia$329$332$249$38112
North Dakota$329$363$218$4567
Wisconsin$326$342$185$4195
Pennsylvania$325$257$227$51426
Delaware$321$321$321$3212
South Carolina$316$313$174$45412
Oklahoma$309$294$267$3814
Minnesota$307$237$185$49913
Rhode Island$300$300$300$3001
Idaho$286$286$254$3172
Kansas$285$220$220$4465
Louisiana$274$288$194$3376
West Virginia$271$271$233$3092
Tennessee$264$200$200$4574
Montana$247$247$247$2471
Hawaii$240$240$240$2403
Alabama$210$210$200$2202
Nebraska$194$180$158$2564
Iowa$158$158$158$1581
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