Rates› D5991

Vesiculobullous Disease Medicament Carrier (D5991) — National Rates

Negotiated reimbursement rates for D5991 across 32 states, sourced from CMS Transparency in Coverage data. 204 rate records.

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National Average Negotiated Rate
$135
204 rate records · 32 states
📊 Data updated monthly · Last refresh: March 2026

About D5991 — Vesiculobullous Disease Medicament Carrier

D5991 refers to the application of a medicament carrier specifically designed for patients with vesiculobullous diseases, such as pemphigus vulgaris or mucous membrane pemphigoid. This procedure is essential for delivering therapeutic agents directly to affected oral tissues, aiding in the management of painful lesions. Documentation should include a detailed clinical history, the specific condition being treated, and the rationale for using a medicament carrier. Reimbursement for this procedure can vary significantly by payor and state, with some insurance plans covering it under medical benefits rather than dental, leading to discrepancies in average reimbursement rates, which hover around $135.

Reimbursement rates for D5991 vary significantly by state, payor, and provider network. The national average negotiated rate is $135. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5991

North Dakota
$179
4 records
Minnesota
$171
3 records
Alabama
$155
1 records

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Full National Breakdown

Median
$134
Low
$43
High
$179

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$179
Minnesota$171
Alabama$155
Oregon$153
Washington$153

↓ Bottom 5

StateAvg Rate
Montana$119
Virginia$119
New Jersey$108
New York$106
District of Columbia$54

All States — D5991 Average Rates

North Dakota
$179
Minnesota
$171
Alabama
$155
Oregon
$153
Washington
$153
Oklahoma
$146
Utah
$145
Alaska
$144
Colorado
$144
Mississippi
$143
Maryland
$141
New Mexico
$139
Florida
$135
Ohio
$134
Wisconsin
$133
Texas
$130
Massachusetts
$130
Arizona
$129
Michigan
$128
New Hampshire
$127
California
$125
Georgia
$124
Connecticut
$124
Kentucky
$123
South Carolina
$123
Missouri
$120
Kansas
$119
Montana
$119
Virginia
$119
New Jersey
$108
New York
$106
District of Columbia
$54
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$179$179$179$1794
Minnesota$171$167$167$1793
Alabama$155$155$155$1551
Oregon$153$152$152$16645
Washington$153$151$140$1795
Oklahoma$146$146$146$1461
Utah$145$145$145$1451
Alaska$144$144$144$1442
Colorado$144$139$119$1733
Mississippi$143$143$143$1431
Maryland$141$141$141$1411
New Mexico$139$139$139$1396
Florida$135$132$119$14920
Ohio$134$137$119$1418
Wisconsin$133$134$130$1344
Texas$130$124$119$16118
Massachusetts$130$127$127$1394
Arizona$129$124$124$1393
Michigan$128$128$119$1372
New Hampshire$127$127$127$1272
California$125$117$110$17923
Georgia$124$123$121$1299
Connecticut$124$124$124$1241
Kentucky$123$123$123$1231
South Carolina$123$123$123$1231
Missouri$120$119$119$13518
Kansas$119$119$119$1191
Montana$119$119$119$1191
Virginia$119$119$119$1191
New Jersey$108$108$54$1612
New York$106$122$43$1629
District of Columbia$54$54$54$541
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