Occlusal Orthotic Device — Adjustment (D7881) — National Rates

Negotiated reimbursement rates for D7881 across 29 states, sourced from CMS Transparency in Coverage data. 227 rate records.

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National Average Negotiated Rate
$68
227 rate records · 29 states
📊 Data updated monthly · Last refresh: March 2026

About D7881 — Occlusal Orthotic Device — Adjustment

The CDT code D7881 refers to the adjustment of an occlusal orthotic device, which is used to manage occlusal discrepancies and temporomandibular joint disorders (TMD). Clinical indications for this procedure include discomfort or dysfunction related to occlusion, bruxism, or jaw pain. Proper documentation should include the patient's symptoms, the specific adjustments made to the device, and any follow-up care instructions. Reimbursement for this procedure can vary significantly by payor and state, with an average reimbursement of $68. Some insurance plans may cover the adjustment as part of a broader treatment plan, while others may require separate prior authorization or may not cover it at all, emphasizing the importance of verifying benefits before treatment.

Reimbursement rates for D7881 vary significantly by state, payor, and provider network. The national average negotiated rate is $68. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D7881

North Dakota
$93
2 records
Nevada
$86
5 records
Maryland
$83
1 records

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Full National Breakdown

Median
$80
Low
$25
High
$158

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$93
Nevada$86
Maryland$83
Georgia$81
Maine$79

↓ Bottom 5

StateAvg Rate
Oregon$31
Alaska$28
Kansas$28
North Carolina$28
Pennsylvania$27

All States — D7881 Average Rates

North Dakota
$93
Nevada
$86
Maryland
$83
Georgia
$81
Maine
$79
Wisconsin
$70
Connecticut
$66
Colorado
$64
Texas
$59
Michigan
$58
New Jersey
$57
New York
$57
South Carolina
$57
Indiana
$57
Illinois
$55
Arkansas
$54
Washington
$53
Florida
$52
Kentucky
$50
Virginia
$49
California
$49
Hawaii
$47
Missouri
$40
Ohio
$32
Oregon
$31
Alaska
$28
Kansas
$28
North Carolina
$28
Pennsylvania
$27
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$93$93$28$1582
Nevada$86$93$68$1005
Maryland$83$83$83$831
Georgia$81$83$28$86116
Maine$79$79$79$791
Wisconsin$70$70$61$802
Connecticut$66$60$60$773
Colorado$64$64$64$641
Texas$59$49$40$835
Michigan$58$53$52$695
New Jersey$57$60$35$754
New York$57$54$28$885
South Carolina$57$60$28$833
Indiana$57$66$30$665
Illinois$55$59$36$703
Arkansas$54$54$27$802
Washington$53$53$48$582
Florida$52$54$28$5720
Kentucky$50$50$50$501
Virginia$49$51$46$513
California$49$39$37$8219
Hawaii$47$47$47$471
Missouri$40$40$40$401
Ohio$32$32$31$333
Oregon$31$31$28$342
Alaska$28$28$28$281
Kansas$28$28$28$281
North Carolina$28$28$28$281
Pennsylvania$27$28$25$296
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