Commissure Splint (D5987) — National Rates

Negotiated reimbursement rates for D5987 across 1 states, sourced from CMS Transparency in Coverage data. 3 rate records.

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National Average Negotiated Rate
$362
3 rate records · 1 states
📊 Data updated monthly · Last refresh: March 2026

About D5987 — Commissure Splint

D5987 refers to the Commissure Splint, a device used to stabilize the jaw and prevent movement during certain dental procedures. This is clinically indicated for patients with temporomandibular joint disorders or those undergoing surgical interventions that require jaw stabilization. Proper documentation should detail the patient's diagnosis, the necessity of the splint, and the procedure performed. Average reimbursement for this code is around $362, but it can vary significantly based on the payor and state, with some plans offering higher reimbursement for splint-related treatments due to their complexity and necessity.

Reimbursement rates for D5987 vary significantly by state, payor, and provider network. The national average negotiated rate is $362. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5987

New York
$493
1 records

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Full National Breakdown

Median
$493
Low
$100
High
$493

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New York$493

↓ Bottom 5

StateAvg Rate
New York$493

All States — D5987 Average Rates

New York
$493
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New York$493$493$493$4931
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