Periodontal Medicament Carrier (Lab-Processed) (D5995) — National Rates

Negotiated reimbursement rates for D5995 across 11 states, sourced from CMS Transparency in Coverage data. 117 rate records.

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National Average Negotiated Rate
$434
117 rate records · 11 states
📊 Data updated monthly · Last refresh: March 2026

About D5995 — Periodontal Medicament Carrier (Lab-Processed)

D5995 pertains to the creation of a lab-processed periodontal medicament carrier, which is used to deliver medications directly to periodontal tissues. This procedure is indicated for patients with periodontal disease requiring localized treatment. Documentation must include the type of medicament used, the patient's periodontal status, and the intended outcomes. Average reimbursement for this procedure is approximately $434, but it can vary by payor and state, with some insurance plans covering it under different categories, affecting overall reimbursement rates.

Reimbursement rates for D5995 vary significantly by state, payor, and provider network. The national average negotiated rate is $434. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5995

Maryland
$484
1 records
South Carolina
$484
1 records
Texas
$484
1 records

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Full National Breakdown

Median
$484
Low
$73
High
$585

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maryland$484
South Carolina$484
Texas$484
California$482
Georgia$477

↓ Bottom 5

StateAvg Rate
Vermont$408
Arizona$308
New Mexico$211
Nevada$142
Utah$137

All States — D5995 Average Rates

Maryland
$484
South Carolina
$484
Texas
$484
California
$482
Georgia
$477
New York
$450
Vermont
$408
Arizona
$308
New Mexico
$211
Nevada
$142
Utah
$137
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maryland$484$484$484$4841
South Carolina$484$484$484$4841
Texas$484$484$484$4841
California$482$489$293$58517
Georgia$477$484$408$48477
New York$450$450$450$4502
Vermont$408$408$408$4081
Arizona$308$308$308$3082
New Mexico$211$211$211$2111
Nevada$142$142$135$1519
Utah$137$137$137$1371
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