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