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Adjust Partial Lower Denture (D5422) — National Rates

Negotiated reimbursement rates for D5422 across 28 states, sourced from CMS Transparency in Coverage data. 173 rate records.

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National Average Negotiated Rate
$56
173 rate records · 28 states
📊 Data updated monthly · Last refresh: March 2026

About D5422 — Adjust Partial Lower Denture

CDT Code D5422 covers Adjust Partial Lower Denture. The national average negotiated rate is $56. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D5422

North Dakota
$117
1 records
New York
$94
16 records
Nevada
$71
4 records

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Full National Breakdown

Median
$49
Low
$24
High
$156

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$117
New York$94
Nevada$71
Virginia$69
New Mexico$67

↓ Bottom 5

StateAvg Rate
Maryland$40
Missouri$39
Kansas$36
Ohio$32
Arkansas$27

All States — D5422 Average Rates

North Dakota
$117
New York
$94
Nevada
$71
Virginia
$69
New Mexico
$67
District of Columbia
$63
Connecticut
$62
Wisconsin
$60
South Carolina
$59
Georgia
$58
Indiana
$58
Oregon
$58
Pennsylvania
$57
Maine
$56
Minnesota
$56
Colorado
$55
Arizona
$50
Kentucky
$50
California
$50
Massachusetts
$48
New Jersey
$48
Mississippi
$44
Florida
$43
Maryland
$40
Missouri
$39
Kansas
$36
Ohio
$32
Arkansas
$27
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$117$117$117$1171
New York$94$76$30$15616
Nevada$71$72$65$764
Virginia$69$69$64$742
New Mexico$67$67$67$671
District of Columbia$63$63$63$632
Connecticut$62$62$62$622
Wisconsin$60$60$60$602
South Carolina$59$57$28$7912
Georgia$58$58$57$592
Indiana$58$58$50$662
Oregon$58$52$52$693
Pennsylvania$57$51$25$1567
Maine$56$56$56$561
Minnesota$56$56$32$792
Colorado$55$55$55$552
Arizona$50$49$44$583
Kentucky$50$50$50$509
California$50$41$38$8244
Massachusetts$48$48$36$778
New Jersey$48$48$35$614
Mississippi$44$44$44$446
Florida$43$45$31$543
Maryland$40$38$31$554
Missouri$39$37$37$558
Kansas$36$36$34$372
Ohio$32$32$32$335
Arkansas$27$27$27$271
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