Intravenous Moderate Sedation — Each Add'l 15 min (D9243) — National Rates

Negotiated reimbursement rates for D9243 across 41 states, sourced from CMS Transparency in Coverage data. 758 rate records.

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National Average Negotiated Rate
$106
758 rate records · 41 states
📊 Data updated monthly · Last refresh: March 2026

About D9243 — Intravenous Moderate Sedation — Each Add'l 15 min

D9243 refers to each additional 15 minutes of intravenous moderate sedation provided by a dentist. This code is typically billed alongside D9239 when the sedation time exceeds the initial 15 minutes. Clinical indications are similar, focusing on patient safety and comfort during extensive dental procedures. Documentation should detail the total sedation time, patient monitoring, and any adverse events. Reimbursement for D9243 can differ significantly among payors, with some insurers covering it based on the procedure's complexity and the medical necessity for sedation, while others may have restrictions on the total time that can be billed.

Reimbursement rates for D9243 vary significantly by state, payor, and provider network. The national average negotiated rate is $106. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D9243

New York
$286
17 records
Nevada
$174
4 records
Connecticut
$168
2 records

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Full National Breakdown

Median
$91
Low
$33
High
$566

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New York$286
Nevada$174
Connecticut$168
Missouri$150
District of Columbia$148

↓ Bottom 5

StateAvg Rate
Iowa$71
Arizona$68
Wyoming$66
Minnesota$59
Kansas$42

All States — D9243 Average Rates

New York
$286
Nevada
$174
Connecticut
$168
Missouri
$150
District of Columbia
$148
Illinois
$141
North Carolina
$131
Indiana
$129
New Hampshire
$129
Pennsylvania
$128
Alaska
$126
Maine
$126
Virginia
$125
Washington
$123
California
$122
Massachusetts
$116
New Mexico
$116
Colorado
$115
Mississippi
$115
Oregon
$114
Wisconsin
$112
Michigan
$112
South Dakota
$112
New Jersey
$109
Tennessee
$109
Maryland
$108
Alabama
$107
Kentucky
$107
Ohio
$104
Florida
$104
Georgia
$103
Texas
$98
South Carolina
$98
Utah
$90
Louisiana
$86
Nebraska
$72
Iowa
$71
Arizona
$68
Wyoming
$66
Minnesota
$59
Kansas
$42
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New York$286$168$65$56617
Nevada$174$203$89$2034
Connecticut$168$168$164$1712
Missouri$150$150$146$1552
District of Columbia$148$148$147$1502
Illinois$141$157$68$1895
North Carolina$131$137$97$1436
Indiana$129$121$78$1893
New Hampshire$129$129$129$1294
Pennsylvania$128$80$69$56612
Alaska$126$113$113$1533
Maine$126$126$126$1261
Virginia$125$131$98$16813
Washington$123$118$118$13514
California$122$117$56$18921
Massachusetts$116$129$70$1415
New Mexico$116$116$116$1162
Colorado$115$120$65$13414
Mississippi$115$115$115$1151
Oregon$114$114$114$1141
Wisconsin$112$112$36$1892
Michigan$112$112$109$1152
South Dakota$112$112$112$1121
New Jersey$109$88$75$15812
Tennessee$109$115$93$1183
Maryland$108$95$73$1729
Alabama$107$107$83$1312
Kentucky$107$108$59$1315
Ohio$104$98$82$1374
Florida$104$122$56$12411
Georgia$103$92$79$1478
Texas$98$84$65$14812
South Carolina$98$87$54$225414
Utah$90$90$75$1052
Louisiana$86$65$65$1467
Nebraska$72$72$71$724
Iowa$71$71$71$711
Arizona$68$68$68$681
Wyoming$66$66$66$661
Minnesota$59$68$36$6821
Kansas$42$42$33$523
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