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Adjust Partial Upper Denture (D5421) — National Rates

Negotiated reimbursement rates for D5421 across 35 states, sourced from CMS Transparency in Coverage data. 167 rate records.

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National Average Negotiated Rate
$57
167 rate records · 35 states
📊 Data updated monthly · Last refresh: March 2026

About D5421 — Adjust Partial Upper Denture

CDT Code D5421 covers Adjust Partial Upper Denture. The national average negotiated rate is $57. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D5421

Kansas
$79
1 records
New Hampshire
$79
1 records
New York
$78
7 records

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Full National Breakdown

Median
$57
Low
$21
High
$149

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Kansas$79
New Hampshire$79
New York$78
Virginia$77
Alabama$77

↓ Bottom 5

StateAvg Rate
Kentucky$43
Illinois$31
Tennessee$30
Arkansas$27
Nebraska$23

All States — D5421 Average Rates

Kansas
$79
New Hampshire
$79
New York
$78
Virginia
$77
Alabama
$77
Oregon
$72
Nevada
$72
Florida
$71
Michigan
$71
Indiana
$66
Connecticut
$66
Minnesota
$62
Massachusetts
$62
Georgia
$62
North Carolina
$61
Wisconsin
$60
South Carolina
$59
Arizona
$58
Washington
$57
New Jersey
$56
Louisiana
$56
New Mexico
$53
Colorado
$52
Ohio
$52
District of Columbia
$50
Maryland
$49
Utah
$48
Pennsylvania
$47
California
$45
Texas
$45
Kentucky
$43
Illinois
$31
Tennessee
$30
Arkansas
$27
Nebraska
$23
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Kansas$79$79$79$791
New Hampshire$79$79$79$791
New York$78$54$37$1497
Virginia$77$77$73$8210
Alabama$77$77$77$771
Oregon$72$72$72$722
Nevada$72$74$65$765
Florida$71$71$71$711
Michigan$71$71$71$711
Indiana$66$66$66$661
Connecticut$66$61$60$804
Minnesota$62$61$61$8214
Massachusetts$62$57$57$774
Georgia$62$52$47$7811
North Carolina$61$77$28$773
Wisconsin$60$59$59$614
South Carolina$59$56$31$8110
Arizona$58$58$58$581
Washington$57$56$56$593
New Jersey$56$63$35$636
Louisiana$56$56$34$772
New Mexico$53$53$53$531
Colorado$52$52$52$532
Ohio$52$52$33$712
District of Columbia$50$50$50$501
Maryland$49$50$39$566
Utah$48$48$48$483
Pennsylvania$47$51$25$775
California$45$40$38$7020
Texas$45$45$43$455
Kentucky$43$31$30$775
Illinois$31$32$21$365
Tennessee$30$30$30$301
Arkansas$27$27$27$271
Nebraska$23$21$21$263
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