Adjust Maxillofacial Prosthetic Appliance (D5992) — National Rates

Negotiated reimbursement rates for D5992 across 27 states, sourced from CMS Transparency in Coverage data. 158 rate records.

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National Average Negotiated Rate
$382
158 rate records · 27 states
📊 Data updated monthly · Last refresh: March 2026

About D5992 — Adjust Maxillofacial Prosthetic Appliance

D5992 involves the adjustment of a maxillofacial prosthetic appliance, which is crucial for patients who have undergone surgical procedures affecting facial structures. Clinical indications include changes in the patient's anatomy or fit of the prosthesis due to healing or weight changes. Proper documentation should include the initial prosthetic design, patient complaints, and the specific adjustments made. Reimbursement for this procedure averages $382 but can vary widely depending on the insurance provider and state regulations, with some plans requiring pre-authorization or specific documentation to ensure coverage.

Reimbursement rates for D5992 vary significantly by state, payor, and provider network. The national average negotiated rate is $382. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5992

New York
$4,288
4 records
North Dakota
$353
1 records
Oregon
$331
8 records

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Full National Breakdown

Median
$285
Low
$100
High
$8,295

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New York$4,288
North Dakota$353
Oregon$331
Minnesota$330
Alabama$323

↓ Bottom 5

StateAvg Rate
Colorado$272
Ohio$269
Connecticut$255
California$246
New Mexico$243

All States — D5992 Average Rates

New York
$4,288
North Dakota
$353
Oregon
$331
Minnesota
$330
Alabama
$323
Washington
$316
Georgia
$308
Utah
$303
Louisiana
$298
Mississippi
$298
Oklahoma
$295
Maryland
$293
Tennessee
$292
New Jersey
$287
Illinois
$286
Pennsylvania
$285
Texas
$283
Arizona
$281
Missouri
$281
Florida
$277
Nevada
$273
Wisconsin
$272
Colorado
$272
Ohio
$269
Connecticut
$255
California
$246
New Mexico
$243
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New York$4,288$4,290$278$8,2954
North Dakota$353$353$353$3531
Oregon$331$345$292$3458
Minnesota$330$330$285$3606
Alabama$323$323$323$3231
Washington$316$315$300$3356
Georgia$308$308$285$3302
Utah$303$303$303$3032
Louisiana$298$298$298$2981
Mississippi$298$298$298$2981
Oklahoma$295$295$285$3052
Maryland$293$293$293$2931
Tennessee$292$292$292$2921
New Jersey$287$250$250$3603
Illinois$286$286$286$2861
Pennsylvania$285$285$285$2851
Texas$283$285$260$28545
Arizona$281$292$266$2937
Missouri$281$281$281$2811
Florida$277$275$258$35322
Nevada$273$273$243$3032
Wisconsin$272$271$265$2785
Colorado$272$263$263$2903
Ohio$269$269$253$2852
Connecticut$255$255$255$2552
California$246$243$229$29224
New Mexico$243$243$243$2431
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