Rates› D5225

Upper Partial Denture — Flexible Base (D5225) — National Rates

Negotiated reimbursement rates for D5225 across 51 states, sourced from CMS Transparency in Coverage data. 754 rate records.

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National Average Negotiated Rate
$923
754 rate records · 51 states
📊 Data updated monthly · Last refresh: March 2026

About D5225 — Upper Partial Denture — Flexible Base

CDT Code D5225 covers Upper Partial Denture — Flexible Base. The national average negotiated rate is $923. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D5225

Nevada
$1,429
13 records
Washington
$1,307
12 records
Oregon
$1,274
6 records

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Full National Breakdown

Median
$852
Low
$83
High
$2,500

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Nevada$1,429
Washington$1,307
Oregon$1,274
Alaska$1,241
New Mexico$1,232

↓ Bottom 5

StateAvg Rate
Kansas$671
Nebraska$605
Idaho$565
Wyoming$543
Iowa$514

All States — D5225 Average Rates

Nevada
$1,429
Washington
$1,307
Oregon
$1,274
Alaska
$1,241
New Mexico
$1,232
Arizona
$1,220
Virginia
$1,163
District of Columbia
$1,141
Delaware
$1,091
Massachusetts
$1,080
New Hampshire
$1,071
Montana
$1,057
California
$1,039
Connecticut
$1,025
Florida
$1,003
Minnesota
$1,001
Maryland
$977
South Dakota
$966
Colorado
$959
Georgia
$941
Texas
$927
Oklahoma
$909
Wisconsin
$898
Alabama
$897
South Carolina
$892
Louisiana
$891
West Virginia
$888
Puerto Rico
$888
Utah
$883
Rhode Island
$880
Mississippi
$879
Michigan
$878
Missouri
$859
Tennessee
$853
New Jersey
$843
North Dakota
$830
Pennsylvania
$810
Maine
$797
Illinois
$786
Indiana
$775
Ohio
$772
New York
$745
Hawaii
$738
North Carolina
$738
Arkansas
$700
Kentucky
$681
Kansas
$671
Nebraska
$605
Idaho
$565
Wyoming
$543
Iowa
$514
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Nevada$1,429$1,428$549$1,91913
Washington$1,307$1,411$1,010$1,41112
Oregon$1,274$1,332$975$1,3406
Alaska$1,241$1,242$1,068$1,4114
New Mexico$1,232$1,285$1,075$1,2854
Arizona$1,220$1,343$638$1,70522
Virginia$1,163$1,059$631$1,48322
District of Columbia$1,141$1,309$631$1,4867
Delaware$1,091$1,091$962$1,2202
Massachusetts$1,080$1,156$573$1,65517
New Hampshire$1,071$989$942$1,2823
Montana$1,057$1,057$1,057$1,0571
California$1,039$1,018$542$1,81669
Connecticut$1,025$1,084$549$1,4007
Florida$1,003$954$530$1,48336
Minnesota$1,001$967$607$1,4855
Maryland$977$937$486$1,48316
South Dakota$966$966$966$9661
Colorado$959$968$462$1,44620
Georgia$941$977$609$1,25619
Texas$927$811$543$1,45547
Oklahoma$909$909$680$1,1382
Wisconsin$898$824$669$1,06410
Alabama$897$952$711$9748
South Carolina$892$870$434$1,49435
Louisiana$891$966$601$9665
West Virginia$888$888$670$1,1072
Puerto Rico$888$926$812$9263
Utah$883$800$543$1,3357
Rhode Island$880$880$880$8801
Mississippi$879$882$783$1,0115
Michigan$878$782$462$1,48320
Missouri$859$852$462$1,62452
Tennessee$853$734$542$1,48312
New Jersey$843$797$609$1,29550
North Dakota$830$623$543$1,19910
Pennsylvania$810$768$551$1,1718
Maine$797$734$716$9426
Illinois$786$789$622$1,23111
Indiana$775$754$687$1,07112
Ohio$772$712$672$1,06420
New York$745$630$549$2,50024
Hawaii$738$738$662$8152
North Carolina$738$777$530$1,32050
Arkansas$700$700$554$8452
Kentucky$681$692$539$80214
Kansas$671$568$568$98915
Nebraska$605$566$514$9049
Idaho$565$462$462$8657
Wyoming$543$543$543$5431
Iowa$514$514$514$5141
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