Rates› D5223

Immediate Upper Partial Denture — Cast Metal (D5223) — National Rates

Negotiated reimbursement rates for D5223 across 50 states, sourced from CMS Transparency in Coverage data. 734 rate records.

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National Average Negotiated Rate
$1,090
734 rate records · 50 states
📊 Data updated monthly · Last refresh: March 2026

About D5223 — Immediate Upper Partial Denture — Cast Metal

CDT Code D5223 covers Immediate Upper Partial Denture — Cast Metal. The national average negotiated rate is $1,090. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D5223

Hawaii
$1,577
1 records
Oregon
$1,480
13 records
New Hampshire
$1,458
4 records

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Full National Breakdown

Median
$1,074
Low
$83
High
$1,985

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Hawaii$1,577
Oregon$1,480
New Hampshire$1,458
California$1,397
Washington$1,386

↓ Bottom 5

StateAvg Rate
Nebraska$847
Tennessee$843
Alabama$803
Wyoming$772
Iowa$642

All States — D5223 Average Rates

Hawaii
$1,577
Oregon
$1,480
New Hampshire
$1,458
California
$1,397
Washington
$1,386
Nevada
$1,354
Oklahoma
$1,341
Alaska
$1,328
Connecticut
$1,318
Wisconsin
$1,299
Kansas
$1,245
Minnesota
$1,236
Maine
$1,228
New York
$1,220
New Mexico
$1,198
Colorado
$1,181
New Jersey
$1,179
Illinois
$1,169
Missouri
$1,168
Maryland
$1,162
South Dakota
$1,149
Delaware
$1,128
North Dakota
$1,116
Virginia
$1,114
Arizona
$1,095
West Virginia
$1,085
Texas
$1,084
Florida
$1,040
Rhode Island
$1,033
Michigan
$1,020
Pennsylvania
$1,013
Utah
$998
District of Columbia
$986
South Carolina
$986
Kentucky
$964
Georgia
$962
Mississippi
$961
Idaho
$956
Indiana
$955
Ohio
$925
North Carolina
$905
Louisiana
$902
Arkansas
$881
Massachusetts
$874
Puerto Rico
$849
Nebraska
$847
Tennessee
$843
Alabama
$803
Wyoming
$772
Iowa
$642
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Hawaii$1,577$1,577$1,577$1,5771
Oregon$1,480$1,577$1,184$1,57713
New Hampshire$1,458$1,506$1,313$1,5064
California$1,397$1,443$781$1,98549
Washington$1,386$1,361$1,206$1,5777
Nevada$1,354$1,329$723$1,77712
Oklahoma$1,341$1,124$1,067$1,8323
Alaska$1,328$1,364$998$1,6106
Connecticut$1,318$1,434$871$1,5304
Wisconsin$1,299$1,226$1,185$1,4588
Kansas$1,245$1,313$1,004$1,3957
Minnesota$1,236$1,275$638$1,67621
Maine$1,228$1,228$1,205$1,2502
New York$1,220$1,168$732$1,69124
New Mexico$1,198$1,053$937$1,4307
Colorado$1,181$1,176$680$1,46517
New Jersey$1,179$1,141$918$1,51522
Illinois$1,169$1,116$893$1,5776
Missouri$1,168$1,107$500$1,39551
Maryland$1,162$1,170$774$1,50018
South Dakota$1,149$1,176$1,016$1,1766
Delaware$1,128$1,128$1,004$1,2522
North Dakota$1,116$1,212$758$1,4596
Virginia$1,114$1,154$774$1,42915
Arizona$1,095$1,170$712$1,32526
West Virginia$1,085$1,085$983$1,1872
Texas$1,084$1,016$680$1,67659
Florida$1,040$1,087$774$1,57746
Rhode Island$1,033$1,094$810$1,1956
Michigan$1,020$975$854$1,3958
Pennsylvania$1,013$936$676$1,69110
Utah$998$1,011$723$1,2098
District of Columbia$986$986$984$9882
South Carolina$986$925$545$1,60022
Kentucky$964$988$798$1,18110
Georgia$962$898$750$1,67655
Mississippi$961$1,006$680$1,1963
Idaho$956$938$855$1,0924
Indiana$955$1,000$788$1,0783
Ohio$925$837$500$1,39520
North Carolina$905$867$752$1,25759
Louisiana$902$1,016$680$1,01611
Arkansas$881$921$616$1,1073
Massachusetts$874$802$722$1,30012
Puerto Rico$849$849$831$8672
Nebraska$847$864$609$1,0504
Tennessee$843$889$595$1,10711
Alabama$803$781$781$92516
Wyoming$772$772$772$7721
Iowa$642$500$500$1,1769
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