Add Wrought Wire Clasp (Tooth-Supported) (D5878) — National Rates

Negotiated reimbursement rates for D5878 across 49 states, sourced from CMS Transparency in Coverage data. 579 rate records.

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National Average Negotiated Rate
$461
579 rate records · 49 states
📊 Data updated monthly · Last refresh: March 2026

About D5878 — Add Wrought Wire Clasp (Tooth-Supported)

D5878 involves adding a wrought wire clasp to a tooth-supported prosthesis. This procedure is indicated when additional retention is needed for a partial denture, particularly in cases where existing clasps are insufficient. Clinical documentation should detail the specific reasons for the addition of the clasp, including any patient-specific factors that necessitate this enhancement. Billing for this procedure may vary by payor, as some insurers may have specific guidelines regarding the use of wrought wire clasps. The average reimbursement for this procedure is around $461, but this can differ based on the patient's insurance plan and the state in which the services are provided.

Reimbursement rates for D5878 vary significantly by state, payor, and provider network. The national average negotiated rate is $461. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5878

Washington
$698
8 records
Alaska
$687
1 records
California
$608
62 records

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Full National Breakdown

Median
$440
Low
$90
High
$1,500

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Washington$698
Alaska$687
California$608
Wisconsin$583
Oklahoma$580

↓ Bottom 5

StateAvg Rate
Puerto Rico$295
Wyoming$290
Iowa$289
Nebraska$287
Tennessee$272

All States — D5878 Average Rates

Washington
$698
Alaska
$687
California
$608
Wisconsin
$583
Oklahoma
$580
Nevada
$571
Maine
$566
Connecticut
$565
Colorado
$559
North Dakota
$558
District of Columbia
$549
Minnesota
$545
Virginia
$545
Delaware
$534
Illinois
$528
Maryland
$528
Oregon
$508
New Hampshire
$508
West Virginia
$498
New Jersey
$488
Michigan
$476
New York
$471
Ohio
$470
New Mexico
$470
Missouri
$468
Florida
$453
Indiana
$448
Arizona
$447
Utah
$442
Georgia
$439
Kansas
$428
Mississippi
$428
Pennsylvania
$421
Idaho
$420
Massachusetts
$418
Texas
$395
Alabama
$375
Kentucky
$372
South Carolina
$364
Arkansas
$350
Rhode Island
$346
Hawaii
$342
North Carolina
$330
Louisiana
$298
Puerto Rico
$295
Wyoming
$290
Iowa
$289
Nebraska
$287
Tennessee
$272
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Washington$698$746$472$7938
Alaska$687$687$687$6871
California$608$616$259$93262
Wisconsin$583$652$301$70310
Oklahoma$580$580$311$8492
Nevada$571$609$424$6646
Maine$566$527$502$6505
Connecticut$565$571$414$6975
Colorado$559$472$439$7095
North Dakota$558$510$259$9524
District of Columbia$549$568$420$7325
Minnesota$545$525$366$7159
Virginia$545$573$255$71013
Delaware$534$534$534$5341
Illinois$528$450$360$70316
Maryland$528$551$276$68024
Oregon$508$460$460$6053
New Hampshire$508$490$307$7454
West Virginia$498$532$341$5894
New Jersey$488$497$224$70717
Michigan$476$460$399$5874
New York$471$373$224$1,50026
Ohio$470$513$301$59613
New Mexico$470$449$449$5658
Missouri$468$472$360$63214
Florida$453$474$301$57042
Indiana$448$446$337$56319
Arizona$447$445$301$5908
Utah$442$462$376$4694
Georgia$439$413$301$74529
Kansas$428$428$428$4281
Mississippi$428$428$428$4289
Pennsylvania$421$392$289$61810
Idaho$420$433$338$4946
Massachusetts$418$340$235$74511
Texas$395$399$307$49234
Alabama$375$400$300$4004
Kentucky$372$341$341$53720
South Carolina$364$307$301$63316
Arkansas$350$350$316$3842
Rhode Island$346$346$346$3461
Hawaii$342$342$301$3832
North Carolina$330$301$224$55570
Louisiana$298$298$298$2981
Puerto Rico$295$295$295$2951
Wyoming$290$290$290$2901
Iowa$289$235$235$6039
Nebraska$287$287$287$2871
Tennessee$272$255$235$3414
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