Rates› D1558

Removal of Fixed Space Maintainer (Bilateral, Mand) (D1558) — National Rates

Negotiated reimbursement rates for D1558 across 27 states, sourced from CMS Transparency in Coverage data. 124 rate records.

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National Average Negotiated Rate
$50
124 rate records · 27 states
📊 Data updated monthly · Last refresh: March 2026

About D1558 — Removal of Fixed Space Maintainer (Bilateral, Mand)

CDT Code D1558 covers Removal of Fixed Space Maintainer (Bilateral, Mand). The national average negotiated rate is $50. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D1558

Wisconsin
$65
2 records
Colorado
$63
2 records
Connecticut
$63
1 records

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Full National Breakdown

Median
$49
Low
$20
High
$106

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Wisconsin$65
Colorado$63
Connecticut$63
Ohio$60
Florida$59

↓ Bottom 5

StateAvg Rate
Tennessee$26
North Dakota$26
Pennsylvania$25
Minnesota$23
Iowa$20

All States — D1558 Average Rates

Wisconsin
$65
Colorado
$63
Connecticut
$63
Ohio
$60
Florida
$59
Indiana
$58
District of Columbia
$56
New York
$54
South Carolina
$54
Kentucky
$53
New Jersey
$53
Arizona
$52
Texas
$52
Massachusetts
$52
Illinois
$51
Maryland
$49
Nevada
$48
Virginia
$48
Georgia
$45
California
$42
Michigan
$42
Missouri
$28
Tennessee
$26
North Dakota
$26
Pennsylvania
$25
Minnesota
$23
Iowa
$20
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Wisconsin$65$65$65$652
Colorado$63$63$60$662
Connecticut$63$63$63$631
Ohio$60$60$60$603
Florida$59$61$20$6713
Indiana$58$58$50$662
District of Columbia$56$56$56$561
New York$54$33$20$1066
South Carolina$54$55$26$796
Kentucky$53$61$34$643
New Jersey$53$58$24$706
Arizona$52$49$41$5915
Texas$52$58$20$756
Massachusetts$52$52$40$632
Illinois$51$52$37$653
Maryland$49$55$35$578
Nevada$48$48$48$481
Virginia$48$48$39$562
Georgia$45$45$45$451
California$42$44$24$5924
Michigan$42$42$42$422
Missouri$28$28$28$281
Tennessee$26$26$26$261
North Dakota$26$26$24$272
Pennsylvania$25$25$25$251
Minnesota$23$23$23$231
Iowa$20$20$20$201
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