Apexification/Recalcification — Final Visit (D3353) — National Rates

Negotiated reimbursement rates for D3353 across 44 states, sourced from CMS Transparency in Coverage data. 485 rate records.

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National Average Negotiated Rate
$420
485 rate records · 44 states
📊 Data updated monthly · Last refresh: March 2026

About D3353 — Apexification/Recalcification — Final Visit

D3353 refers to apexification or recalcification procedures performed during the final visit. This treatment is typically indicated for non-vital teeth with incomplete root development, where the goal is to encourage the formation of a calcified barrier at the apex of the root. Documentation for billing should include detailed notes on the clinical findings, treatment provided, and any radiographic evidence supporting the procedure. Reimbursement for D3353 can vary significantly by payor and state, with average payments around $420. Some insurance plans may have specific criteria for coverage, including the necessity of prior treatments or the use of specific materials, which can impact reimbursement rates.

Reimbursement rates for D3353 vary significantly by state, payor, and provider network. The national average negotiated rate is $420. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D3353

New Hampshire
$624
2 records
Alaska
$620
1 records
District of Columbia
$611
1 records

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Full National Breakdown

Median
$428
Low
$83
High
$735

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New Hampshire$624
Alaska$620
District of Columbia$611
Washington$557
Virginia$545

↓ Bottom 5

StateAvg Rate
Oklahoma$311
Rhode Island$299
Alabama$296
Arkansas$283
Nebraska$225

All States — D3353 Average Rates

New Hampshire
$624
Alaska
$620
District of Columbia
$611
Washington
$557
Virginia
$545
West Virginia
$533
Maine
$507
Colorado
$474
California
$472
New Jersey
$470
Oregon
$467
New Mexico
$461
Ohio
$459
Florida
$456
Nevada
$451
Maryland
$450
Missouri
$445
New York
$442
Arizona
$439
Hawaii
$437
Connecticut
$411
Kentucky
$410
Wisconsin
$410
Georgia
$408
North Carolina
$402
Indiana
$396
Illinois
$395
Texas
$389
Michigan
$384
Massachusetts
$382
North Dakota
$376
Pennsylvania
$374
South Carolina
$349
Louisiana
$348
Utah
$346
Iowa
$344
Idaho
$335
Minnesota
$328
Tennessee
$311
Oklahoma
$311
Rhode Island
$299
Alabama
$296
Arkansas
$283
Nebraska
$225
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New Hampshire$624$624$624$6242
Alaska$620$620$620$6201
District of Columbia$611$611$611$6111
Washington$557$590$443$6168
Virginia$545$542$303$73512
West Virginia$533$533$500$5662
Maine$507$518$440$5655
Colorado$474$509$277$51715
California$472$489$231$67358
New Jersey$470$504$242$60417
Oregon$467$443$443$5406
New Mexico$461$470$404$4707
Ohio$459$500$339$50012
Florida$456$444$251$57026
Nevada$451$439$342$66216
Maryland$450$463$302$5798
Missouri$445$428$409$53610
New York$442$480$275$57120
Arizona$439$440$251$62419
Hawaii$437$437$437$4371
Connecticut$411$425$334$5236
Kentucky$410$420$310$45513
Wisconsin$410$437$342$4379
Georgia$408$400$355$49814
North Carolina$402$382$361$56838
Indiana$396$360$324$4557
Illinois$395$428$289$4375
Texas$389$363$251$52930
Michigan$384$407$328$4163
Massachusetts$382$312$289$6246
North Dakota$376$413$231$5949
Pennsylvania$374$368$260$5024
South Carolina$349$378$150$49720
Louisiana$348$348$308$3892
Utah$346$352$297$3814
Iowa$344$351$274$4073
Idaho$335$353$282$3534
Minnesota$328$292$176$5328
Tennessee$311$251$251$39020
Oklahoma$311$277$277$3816
Rhode Island$299$289$289$3769
Alabama$296$264$238$3873
Arkansas$283$283$283$2831
Nebraska$225$225$225$2251
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