Negotiated reimbursement rates for D2954 across 46 states, sourced from CMS Transparency in Coverage data. 429 rate records.
D2954 refers to the prefabricated post and core procedure, which is used to provide support for a crown when there is insufficient tooth structure. This procedure is clinically indicated when a tooth requires reinforcement but does not necessitate a custom cast post. Documentation should include clinical notes detailing the condition of the tooth and the rationale for using a prefabricated post. Reimbursement for D2954 can vary significantly among payors and states, with some insurance plans covering the procedure fully while others may impose restrictions. The average reimbursement for this procedure is around $220, so dental billing professionals should be diligent in checking individual payor policies to ensure compliance and maximize reimbursement.
Reimbursement rates for D2954 vary significantly by state, payor, and provider network. The national average negotiated rate is $220. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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