Appliance Removal (D7997) — National Rates

Negotiated reimbursement rates for D7997 across 11 states, sourced from CMS Transparency in Coverage data. 55 rate records.

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National Average Negotiated Rate
$193
55 rate records · 11 states
📊 Data updated monthly · Last refresh: March 2026

About D7997 — Appliance Removal

D7997 involves the removal of an appliance, which may include orthodontic devices or other dental appliances. The clinical indications for this procedure typically include the completion of treatment, appliance failure, or patient discomfort. Proper documentation should include the reason for removal, the type of appliance, and any relevant treatment history. Reimbursement for D7997 varies by payor, with some plans covering the procedure under orthodontic benefits while others may not, particularly if the appliance was not initially covered. It's crucial to check the patient's insurance policy for specific guidelines and to submit any necessary pre-authorization requests.

Reimbursement rates for D7997 vary significantly by state, payor, and provider network. The national average negotiated rate is $193. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D7997

California
$273
10 records
Colorado
$253
1 records
Michigan
$253
1 records

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Full National Breakdown

Median
$210
Low
$21
High
$320

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
California$273
Colorado$253
Michigan$253
Virginia$253
Missouri$250

↓ Bottom 5

StateAvg Rate
Georgia$195
New York$192
South Carolina$154
Iowa$130
North Carolina$103

All States — D7997 Average Rates

California
$273
Colorado
$253
Michigan
$253
Virginia
$253
Missouri
$250
Ohio
$199
Georgia
$195
New York
$192
South Carolina
$154
Iowa
$130
North Carolina
$103
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
California$273$281$198$30110
Colorado$253$253$253$2531
Michigan$253$253$253$2531
Virginia$253$253$253$2531
Missouri$250$253$233$2537
Ohio$199$199$145$2532
Georgia$195$195$195$1951
New York$192$192$130$2552
South Carolina$154$148$21$32011
Iowa$130$130$130$1303
North Carolina$103$103$103$1033
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