Rates› D9128

Metal-Based Temporization/Splinting (Single Tooth) (D9128) — National Rates

Negotiated reimbursement rates for D9128 across 21 states, sourced from CMS Transparency in Coverage data. 120 rate records.

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National Average Negotiated Rate
$43
120 rate records · 21 states
📊 Data updated monthly · Last refresh: March 2026

About D9128 — Metal-Based Temporization/Splinting (Single Tooth)

CDT Code D9128 covers Metal-Based Temporization/Splinting (Single Tooth). The national average negotiated rate is $43. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D9128

Connecticut
$69
5 records
California
$67
31 records
Arizona
$65
2 records

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Full National Breakdown

Median
$50
Low
$8
High
$106

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Connecticut$69
California$67
Arizona$65
Oregon$58
Washington$56

↓ Bottom 5

StateAvg Rate
New Jersey$14
Florida$13
Indiana$11
Ohio$10
Kentucky$9

All States — D9128 Average Rates

Connecticut
$69
California
$67
Arizona
$65
Oregon
$58
Washington
$56
Georgia
$46
New York
$44
Colorado
$42
Texas
$38
Utah
$35
Illinois
$25
Virginia
$23
Alabama
$18
Missouri
$17
Wisconsin
$16
Minnesota
$15
New Jersey
$14
Florida
$13
Indiana
$11
Ohio
$10
Kentucky
$9
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Connecticut$69$90$25$905
California$67$65$39$10631
Arizona$65$65$65$652
Oregon$58$58$58$581
Washington$56$58$11$5820
Georgia$46$46$34$582
New York$44$26$12$1046
Colorado$42$40$26$655
Texas$38$34$22$586
Utah$35$35$35$351
Illinois$25$8$8$583
Virginia$23$24$17$273
Alabama$18$18$18$181
Missouri$17$17$15$192
Wisconsin$16$16$16$162
Minnesota$15$15$9$212
New Jersey$14$14$14$141
Florida$13$13$13$1314
Indiana$11$11$11$111
Ohio$10$10$10$101
Kentucky$9$9$9$99
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