Rates› D5226

Lower Partial Denture — Flexible Base (D5226) — National Rates

Negotiated reimbursement rates for D5226 across 50 states, sourced from CMS Transparency in Coverage data. 690 rate records.

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National Average Negotiated Rate
$965
690 rate records · 50 states
📊 Data updated monthly · Last refresh: March 2026

About D5226 — Lower Partial Denture — Flexible Base

D5226 is the code for a lower partial denture with a flexible base. This procedure is indicated for patients who require a comfortable and aesthetically pleasing solution for missing lower teeth. Proper documentation is essential, including clinical notes and treatment plans. Reimbursement for this procedure averages around $965, but it can vary widely based on the insurance provider and state regulations. Some payors may have specific criteria for flexible base dentures, influencing coverage and reimbursement rates.

Reimbursement rates for D5226 vary significantly by state, payor, and provider network. The national average negotiated rate is $965. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5226

New Hampshire
$1,463
7 records
Nevada
$1,398
18 records
Alaska
$1,266
2 records

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Full National Breakdown

Median
$905
Low
$83
High
$2,410

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New Hampshire$1,463
Nevada$1,398
Alaska$1,266
Arizona$1,237
Massachusetts$1,210

↓ Bottom 5

StateAvg Rate
West Virginia$670
Kentucky$664
Nebraska$635
Montana$632
Wyoming$625

All States — D5226 Average Rates

New Hampshire
$1,463
Nevada
$1,398
Alaska
$1,266
Arizona
$1,237
Massachusetts
$1,210
Minnesota
$1,144
Virginia
$1,135
Florida
$1,133
Colorado
$1,126
New Jersey
$1,123
Washington
$1,106
California
$1,084
New Mexico
$1,083
Connecticut
$1,059
Maine
$1,043
Utah
$1,028
Delaware
$1,013
Ohio
$1,006
Wisconsin
$1,002
Oregon
$988
Georgia
$973
Iowa
$940
Arkansas
$930
South Carolina
$924
Mississippi
$897
Texas
$890
Louisiana
$871
Michigan
$867
Illinois
$863
New York
$859
Hawaii
$851
North Dakota
$829
Rhode Island
$828
Maryland
$827
Puerto Rico
$822
Alabama
$820
Kansas
$800
District of Columbia
$786
Oklahoma
$779
North Carolina
$779
Indiana
$771
Pennsylvania
$756
Missouri
$722
Idaho
$684
Tennessee
$672
West Virginia
$670
Kentucky
$664
Nebraska
$635
Montana
$632
Wyoming
$625
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New Hampshire$1,463$1,648$826$1,6487
Nevada$1,398$1,424$770$1,91918
Alaska$1,266$1,266$1,157$1,3762
Arizona$1,237$1,351$568$1,35118
Massachusetts$1,210$1,339$723$1,64810
Minnesota$1,144$1,196$674$1,6656
Virginia$1,135$1,107$606$1,57415
Florida$1,133$1,138$619$1,54751
Colorado$1,126$1,207$733$1,44624
New Jersey$1,123$1,060$703$1,41721
Washington$1,106$1,136$782$1,41110
California$1,084$1,024$572$1,81679
New Mexico$1,083$1,075$905$1,2855
Connecticut$1,059$992$703$1,4006
Maine$1,043$996$830$1,3514
Utah$1,028$1,052$905$1,1006
Delaware$1,013$1,013$908$1,1182
Ohio$1,006$966$755$1,3688
Wisconsin$1,002$973$777$1,2499
Oregon$988$988$637$1,3402
Georgia$973$1,024$606$1,18627
Iowa$940$964$796$1,0036
Arkansas$930$930$930$9301
South Carolina$924$884$503$1,49426
Mississippi$897$897$783$1,0112
Texas$890$843$637$1,44332
Louisiana$871$809$658$1,2805
Michigan$867$839$839$1,08412
Illinois$863$842$684$1,32513
New York$859$723$549$2,41032
Hawaii$851$810$770$9996
North Dakota$829$829$634$1,0242
Rhode Island$828$691$691$1,1023
Maryland$827$703$565$1,29432
Puerto Rico$822$822$822$8221
Alabama$820$791$711$97410
Kansas$800$702$572$1,1756
District of Columbia$786$703$606$9625
Oklahoma$779$779$685$8732
North Carolina$779$817$606$1,20945
Indiana$771$687$606$1,0565
Pennsylvania$756$637$595$1,17617
Missouri$722$611$568$1,18051
Idaho$684$660$537$9055
Tennessee$672$568$568$1,11710
West Virginia$670$670$670$6701
Kentucky$664$582$568$8498
Nebraska$635$635$635$6351
Montana$632$632$632$6323
Wyoming$625$625$625$6251
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