Modification of Removable Prosthesis (Implant) (D5875) — National Rates

Negotiated reimbursement rates for D5875 across 19 states, sourced from CMS Transparency in Coverage data. 83 rate records.

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National Average Negotiated Rate
$177
83 rate records · 19 states
📊 Data updated monthly · Last refresh: March 2026

About D5875 — Modification of Removable Prosthesis (Implant)

D5875 refers to the modification of a removable prosthesis that is implant-supported. This procedure is indicated when adjustments or alterations are needed to improve fit, function, or aesthetics of the existing prosthesis. Clinical documentation should include the reasons for modification, any clinical findings, and the specific changes made to the prosthesis. Reimbursement for this procedure can vary widely by payor and state, with some plans offering coverage for modifications while others may not. It is advisable to check with the patient's insurance provider to determine coverage and reimbursement expectations.

Reimbursement rates for D5875 vary significantly by state, payor, and provider network. The national average negotiated rate is $177. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5875

New York
$312
3 records
Missouri
$287
1 records
New Mexico
$251
4 records

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Full National Breakdown

Median
$184
Low
$69
High
$496

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New York$312
Missouri$287
New Mexico$251
Colorado$249
Kentucky$249

↓ Bottom 5

StateAvg Rate
Nevada$155
Utah$148
South Carolina$132
Arizona$107
Idaho$101

All States — D5875 Average Rates

New York
$312
Missouri
$287
New Mexico
$251
Colorado
$249
Kentucky
$249
Washington
$230
Indiana
$225
Iowa
$202
California
$194
Wisconsin
$190
Texas
$180
Georgia
$168
Florida
$157
Louisiana
$157
Nevada
$155
Utah
$148
South Carolina
$132
Arizona
$107
Idaho
$101
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New York$312$251$190$4963
Missouri$287$287$287$2871
New Mexico$251$251$251$2514
Colorado$249$249$249$2491
Kentucky$249$249$249$2493
Washington$230$230$230$2303
Indiana$225$249$129$2499
Iowa$202$202$202$2021
California$194$195$191$1964
Wisconsin$190$190$190$1901
Texas$180$180$157$2022
Georgia$168$168$168$1681
Florida$157$157$157$1571
Louisiana$157$157$157$1578
Nevada$155$156$106$19610
Utah$148$148$107$1882
South Carolina$132$104$69$25012
Arizona$107$107$107$1071
Idaho$101$101$101$1011
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