Negotiated reimbursement rates for D2934 across 44 states, sourced from CMS Transparency in Coverage data. 580 rate records.
D2934 is the CDT code for a prefabricated esthetic coated stainless steel crown intended for primary teeth. This crown is used when a primary tooth is extensively decayed or damaged but still has the potential for retention. Clinical indications include significant caries or fracture. Documentation must include the clinical assessment, treatment rationale, and any necessary radiographic evidence. The average reimbursement for this procedure is around $200, but payor policies can differ significantly, and some may have restrictions on coverage for esthetic crowns, necessitating pre-authorization in certain cases.
Reimbursement rates for D2934 vary significantly by state, payor, and provider network. The national average negotiated rate is $200. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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