Upper Partial Denture — Cast Metal Framework (D5213) — National Rates

Negotiated reimbursement rates for D5213 across 48 states, sourced from CMS Transparency in Coverage data. 1006 rate records.

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National Average Negotiated Rate
$1,466
1006 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D5213 — Upper Partial Denture — Cast Metal Framework

CDT Code D5213 covers Upper Partial Denture — Cast Metal Framework. The national average negotiated rate is $1,466. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D5213

Alaska
$1,610
1 records
New York
$1,596
27 records
Oregon
$1,403
12 records

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Full National Breakdown

Median
$1,140
Low
$83
High
$6,007

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Alaska$1,610
New York$1,596
Oregon$1,403
California$1,382
Connecticut$1,286

↓ Bottom 5

StateAvg Rate
Kansas$853
Indiana$830
Rhode Island$830
Arkansas$819
Iowa$535

All States — D5213 Average Rates

Alaska
$1,610
New York
$1,596
Oregon
$1,403
California
$1,382
Connecticut
$1,286
Nevada
$1,277
Maine
$1,270
Wisconsin
$1,252
Washington
$1,247
Delaware
$1,234
Hawaii
$1,231
Virginia
$1,228
South Dakota
$1,176
North Dakota
$1,162
New Jersey
$1,145
Minnesota
$1,141
New Hampshire
$1,124
New Mexico
$1,111
Colorado
$1,106
Mississippi
$1,101
West Virginia
$1,089
Louisiana
$1,086
Texas
$1,080
Maryland
$1,066
Missouri
$1,037
Illinois
$1,034
Georgia
$1,030
South Carolina
$1,026
Utah
$1,025
Massachusetts
$1,024
Arizona
$1,020
Alabama
$992
Idaho
$973
Pennsylvania
$956
Florida
$953
Ohio
$938
Tennessee
$934
Montana
$928
North Carolina
$921
Michigan
$911
Oklahoma
$899
Kentucky
$865
Nebraska
$864
Kansas
$853
Indiana
$830
Rhode Island
$830
Arkansas
$819
Iowa
$535
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Alaska$1,610$1,610$1,610$1,6101
New York$1,596$1,033$732$3,64027
Oregon$1,403$1,469$751$1,57712
California$1,382$1,446$680$1,98571
Connecticut$1,286$1,414$722$1,5914
Nevada$1,277$1,258$992$1,77714
Maine$1,270$1,265$1,250$1,3137
Wisconsin$1,252$1,209$885$1,4589
Washington$1,247$1,236$845$1,57712
Delaware$1,234$1,252$936$1,5153
Hawaii$1,231$1,231$885$1,5772
Virginia$1,228$1,288$801$1,42916
South Dakota$1,176$1,176$1,176$1,1763
North Dakota$1,162$1,021$680$1,9284
New Jersey$1,145$1,260$680$1,43619
Minnesota$1,141$850$609$1,67630
New Hampshire$1,124$1,138$712$1,5064
New Mexico$1,111$1,053$937$1,4307
Colorado$1,106$1,101$937$1,48612
Mississippi$1,101$1,101$1,006$1,1962
West Virginia$1,089$1,097$983$1,1873
Louisiana$1,086$1,016$1,016$1,2253
Texas$1,080$1,174$831$1,46530
Maryland$1,066$1,097$712$1,50017
Missouri$1,037$1,076$500$1,39536
Illinois$1,034$976$810$1,57716
Georgia$1,030$1,064$712$1,67641
South Carolina$1,026$882$545$1,79436
Utah$1,025$1,011$828$1,2406
Massachusetts$1,024$988$722$1,50611
Arizona$1,020$937$750$1,50619
Alabama$992$991$781$1,1596
Idaho$973$1,021$855$1,0927
Pennsylvania$956$842$676$3,64022
Florida$953$853$712$1,83241
Ohio$938$888$500$1,21250
Tennessee$934$807$680$1,6766
Montana$928$928$772$1,0842
North Carolina$921$885$712$1,30566
Michigan$911$854$712$1,35011
Oklahoma$899$750$750$1,3058
Kentucky$865$798$595$1,07815
Nebraska$864$864$776$9532
Kansas$853$751$723$1,0843
Indiana$830$788$788$1,0005
Rhode Island$830$810$810$9939
Arkansas$819$921$616$9213
Iowa$535$500$500$7477
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