Negotiated reimbursement rates for D2542 across 48 states, sourced from CMS Transparency in Coverage data. 675 rate records.
D2542 refers to a metallic onlay that covers two surfaces of a tooth. This procedure is indicated when a tooth has extensive decay or structural damage that cannot be adequately restored with an inlay or filling. Proper documentation is essential and should include details about the tooth's condition, surfaces treated, and any imaging that supports the treatment decision. Reimbursement for D2542 varies by payor and state, with some insurers providing higher rates for more complex restorations. The average reimbursement for this procedure is about $632.
Reimbursement rates for D2542 vary significantly by state, payor, and provider network. The national average negotiated rate is $632. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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