Negotiated reimbursement rates for D5725 across 45 states, sourced from CMS Transparency in Coverage data. 542 rate records.
D5725 denotes the rebase of a hybrid prosthesis, which combines features of both fixed and removable prosthetics. This procedure is indicated when the existing hybrid prosthesis no longer fits properly, often due to changes in the underlying tissues. Accurate documentation is crucial, detailing the patient's condition and the specific adjustments made. The average reimbursement for D5725 is around $345, but variability exists based on the payor's policies and the state in which the procedure is performed, with some plans offering higher reimbursement rates for complex cases.
Reimbursement rates for D5725 vary significantly by state, payor, and provider network. The national average negotiated rate is $345. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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