Re-cement/Re-bond Fixed Retainer (Maxillary) (D8697) — National Rates

Negotiated reimbursement rates for D8697 across 23 states, sourced from CMS Transparency in Coverage data. 94 rate records.

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National Average Negotiated Rate
$127
94 rate records · 23 states
📊 Data updated monthly · Last refresh: March 2026

About D8697 — Re-cement/Re-bond Fixed Retainer (Maxillary)

D8697 is the code used for re-cementing or re-bonding a fixed retainer in the maxillary arch. This procedure is indicated when a fixed retainer has become loose or detached, which can compromise the stability of the orthodontic treatment. Proper documentation should include the reason for re-cementation, the materials used, and any pertinent clinical observations. Average reimbursement for this service is approximately $127, but it can vary based on the patient's insurance plan and state regulations. Some payors may require specific documentation or have limitations on coverage for this procedure.

Reimbursement rates for D8697 vary significantly by state, payor, and provider network. The national average negotiated rate is $127. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D8697

Arizona
$380
2 records
New York
$193
3 records
Texas
$190
8 records

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Full National Breakdown

Median
$96
Low
$51
High
$380

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Arizona$380
New York$193
Texas$190
Missouri$185
Washington$185

↓ Bottom 5

StateAvg Rate
California$93
North Carolina$85
Indiana$83
West Virginia$80
South Carolina$77

All States — D8697 Average Rates

Arizona
$380
New York
$193
Texas
$190
Missouri
$185
Washington
$185
Utah
$180
Wisconsin
$170
Kentucky
$162
Colorado
$153
Virginia
$147
Michigan
$146
Florida
$128
Pennsylvania
$125
Iowa
$123
Georgia
$100
Connecticut
$100
Massachusetts
$100
New Jersey
$95
California
$93
North Carolina
$85
Indiana
$83
West Virginia
$80
South Carolina
$77
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Arizona$380$380$380$3802
New York$193$200$160$2203
Texas$190$190$190$1908
Missouri$185$185$175$1952
Washington$185$185$185$1851
Utah$180$180$180$1802
Wisconsin$170$170$170$1701
Kentucky$162$165$155$1653
Colorado$153$153$96$2102
Virginia$147$150$140$1503
Michigan$146$146$87$2052
Florida$128$96$96$2308
Pennsylvania$125$125$100$1502
Iowa$123$123$96$1502
Georgia$100$96$91$18017
Connecticut$100$100$100$1001
Massachusetts$100$100$100$1001
New Jersey$95$95$90$1002
California$93$92$92$9619
North Carolina$85$85$85$851
Indiana$83$83$83$831
West Virginia$80$80$80$801
South Carolina$77$80$51$974
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