Orthodontic Retention — Fixed Appliance (D8681) — National Rates

Negotiated reimbursement rates for D8681 across 26 states, sourced from CMS Transparency in Coverage data. 119 rate records.

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National Average Negotiated Rate
$713
119 rate records · 26 states
📊 Data updated monthly · Last refresh: March 2026

About D8681 — Orthodontic Retention — Fixed Appliance

D8681 refers to Orthodontic Retention using a fixed appliance, which is another method of maintaining tooth position post-treatment. This procedure is often recommended for patients who may not comply with removable retainers or require more stable retention. Clinical indications include the need for long-term retention in cases of significant tooth movement. When billing for this code, it is essential to document the rationale for using a fixed appliance, patient compliance issues, and any relevant clinical observations. The average reimbursement for D8681 is approximately $713, but this can vary widely based on the insurance plan, state regulations, and the specifics of the treatment contract.

Reimbursement rates for D8681 vary significantly by state, payor, and provider network. The national average negotiated rate is $713. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D8681

Idaho
$4,670
1 records
New Mexico
$3,370
3 records
Connecticut
$867
1 records

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Full National Breakdown

Median
$790
Low
$49
High
$4,670

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Idaho$4,670
New Mexico$3,370
Connecticut$867
North Dakota$851
Florida$847

↓ Bottom 5

StateAvg Rate
Georgia$643
California$571
Utah$380
Nevada$75
Arizona$49

All States — D8681 Average Rates

Idaho
$4,670
New Mexico
$3,370
Connecticut
$867
North Dakota
$851
Florida
$847
Colorado
$840
Washington
$795
New Hampshire
$791
New Jersey
$791
Illinois
$776
Texas
$774
North Carolina
$770
Michigan
$765
New York
$762
Minnesota
$760
Kentucky
$745
Alabama
$744
Virginia
$735
Ohio
$730
Missouri
$725
Pennsylvania
$709
Georgia
$643
California
$571
Utah
$380
Nevada
$75
Arizona
$49
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Idaho$4,670$4,670$4,670$4,6701
New Mexico$3,370$4,670$770$4,6703
Connecticut$867$867$867$8671
North Dakota$851$851$851$8511
Florida$847$845$790$9053
Colorado$840$840$840$8401
Washington$795$795$795$7955
New Hampshire$791$791$791$7911
New Jersey$791$791$791$79130
Illinois$776$770$770$8157
Texas$774$780$750$7913
North Carolina$770$770$770$7701
Michigan$765$765$765$7651
New York$762$791$600$90010
Minnesota$760$760$760$7601
Kentucky$745$745$745$7451
Alabama$744$745$740$7458
Virginia$735$735$700$7702
Ohio$730$730$730$7301
Missouri$725$725$725$7252
Pennsylvania$709$709$709$7091
Georgia$643$816$93$8474
California$571$811$72$8313
Utah$380$380$49$7102
Nevada$75$69$57$10121
Arizona$49$49$49$492
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