Negotiated reimbursement rates for D8704 across 23 states, sourced from CMS Transparency in Coverage data. 123 rate records.
D8704 is designated for the replacement of a lost or broken retainer, billed by report. This code is typically used when the replacement involves unique circumstances that require additional documentation to justify the procedure. Clinical indications may include significant wear or damage that impacts the retainer's functionality. Billing notes should include detailed descriptions of the circumstances leading to the replacement. Reimbursement for this code averages about $356, but it can vary widely based on the specifics of the case and the policies of different payors.
Reimbursement rates for D8704 vary significantly by state, payor, and provider network. The national average negotiated rate is $356. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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