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Repair Cast Partial Framework (Upper) (D5621) — National Rates

Negotiated reimbursement rates for D5621 across 42 states, sourced from CMS Transparency in Coverage data. 332 rate records.

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National Average Negotiated Rate
$131
332 rate records · 42 states
📊 Data updated monthly · Last refresh: March 2026

About D5621 — Repair Cast Partial Framework (Upper)

CDT Code D5621 covers Repair Cast Partial Framework (Upper). The national average negotiated rate is $131. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D5621

Connecticut
$193
2 records
Wisconsin
$187
5 records
Illinois
$179
2 records

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Full National Breakdown

Median
$124
Low
$50
High
$262

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Connecticut$193
Wisconsin$187
Illinois$179
North Dakota$170
Colorado$168

↓ Bottom 5

StateAvg Rate
Louisiana$81
Vermont$80
Tennessee$76
Iowa$72
Arkansas$68

All States — D5621 Average Rates

Connecticut
$193
Wisconsin
$187
Illinois
$179
North Dakota
$170
Colorado
$168
Nevada
$167
Arizona
$160
Utah
$158
Delaware
$157
New York
$151
Indiana
$148
Virginia
$147
Georgia
$147
California
$143
Michigan
$143
New Mexico
$142
Florida
$142
New Hampshire
$141
District of Columbia
$134
South Carolina
$130
Pennsylvania
$129
Maryland
$128
Texas
$128
Maine
$128
New Jersey
$125
Ohio
$123
Oregon
$120
North Carolina
$120
Missouri
$113
Alaska
$113
Massachusetts
$112
Washington
$112
Minnesota
$104
Kentucky
$97
Rhode Island
$84
Hawaii
$82
Idaho
$82
Louisiana
$81
Vermont
$80
Tennessee
$76
Iowa
$72
Arkansas
$68
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Connecticut$193$193$184$2022
Wisconsin$187$201$161$2045
Illinois$179$179$154$2042
North Dakota$170$170$78$2622
Colorado$168$182$100$18223
Nevada$167$170$151$1907
Arizona$160$165$132$18211
Utah$158$158$153$1632
Delaware$157$157$157$1571
New York$151$121$72$24023
Indiana$148$150$85$1925
Virginia$147$148$117$1686
Georgia$147$141$128$1718
California$143$119$104$22841
Michigan$143$143$143$1431
New Mexico$142$148$109$1487
Florida$142$145$98$1759
New Hampshire$141$180$80$1809
District of Columbia$134$122$102$1783
South Carolina$130$111$50$24813
Pennsylvania$129$123$70$2407
Maryland$128$128$93$1654
Texas$128$118$105$1828
Maine$128$128$128$1287
New Jersey$125$129$95$1665
Ohio$123$92$87$2047
Oregon$120$120$120$1201
North Carolina$120$120$111$1282
Missouri$113$88$88$1549
Alaska$113$113$113$1131
Massachusetts$112$94$58$18012
Washington$112$120$68$1236
Minnesota$104$98$85$14922
Kentucky$97$85$85$13013
Rhode Island$84$84$84$846
Hawaii$82$82$82$821
Idaho$82$82$82$824
Louisiana$81$81$81$815
Vermont$80$80$80$801
Tennessee$76$80$58$854
Iowa$72$58$58$14710
Arkansas$68$68$68$681
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