Negotiated reimbursement rates for D2543 across 48 states, sourced from CMS Transparency in Coverage data. 583 rate records.
D2543 is the code for a metallic onlay that covers three surfaces of a tooth. This procedure is indicated when there is significant damage or decay that requires a more substantial restoration than a filling or inlay. Documentation must clearly outline the extent of the decay, the surfaces involved, and any radiographic evidence. Reimbursement for D2543 can vary significantly based on the insurance provider and state regulations, with some plans offering higher compensation for complex cases. The average reimbursement for this procedure is approximately $717.
Reimbursement rates for D2543 vary significantly by state, payor, and provider network. The national average negotiated rate is $717. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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