Fabrication of Athletic Mouthguard (D9941) — National Rates

Negotiated reimbursement rates for D9941 across 43 states, sourced from CMS Transparency in Coverage data. 611 rate records.

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National Average Negotiated Rate
$193
611 rate records · 43 states
📊 Data updated monthly · Last refresh: March 2026

About D9941 — Fabrication of Athletic Mouthguard

D9941 involves the fabrication of an athletic mouthguard, which is essential for protecting the teeth and jaw during sports activities. This procedure is indicated for patients engaged in contact sports or activities with a high risk of dental injury. Documentation should include the patient's age, sport participation, and any previous dental injuries. Reimbursement for athletic mouthguards can vary significantly by payor; some may cover the full cost while others may have restrictions based on the patient's age or the type of sport. The average reimbursement for this procedure is approximately $193.

Reimbursement rates for D9941 vary significantly by state, payor, and provider network. The national average negotiated rate is $193. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D9941

Oklahoma
$170
1 records
Nevada
$167
18 records
Oregon
$155
5 records

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Full National Breakdown

Median
$133
Low
$37
High
$1,022

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Oklahoma$170
Nevada$167
Oregon$155
Colorado$151
California$148

↓ Bottom 5

StateAvg Rate
Iowa$55
Nebraska$51
Kansas$47
South Dakota$43
Minnesota$42

All States — D9941 Average Rates

Oklahoma
$170
Nevada
$167
Oregon
$155
Colorado
$151
California
$148
Florida
$143
Alaska
$128
Connecticut
$126
New York
$126
Kentucky
$125
South Carolina
$125
New Mexico
$123
Arizona
$122
Massachusetts
$119
Washington
$116
District of Columbia
$114
New Jersey
$107
Michigan
$106
Georgia
$105
Wisconsin
$105
Indiana
$104
Illinois
$104
Pennsylvania
$104
Maine
$104
North Carolina
$102
Texas
$99
Maryland
$95
Tennessee
$91
New Hampshire
$85
Alabama
$84
Ohio
$82
Utah
$80
Virginia
$74
Missouri
$73
Idaho
$72
Delaware
$71
Louisiana
$64
North Dakota
$62
Iowa
$55
Nebraska
$51
Kansas
$47
South Dakota
$43
Minnesota
$42
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Oklahoma$170$170$170$1701
Nevada$167$168$142$18518
Oregon$155$155$155$1555
Colorado$151$170$106$1917
California$148$164$43$21853
Florida$143$131$64$20224
Alaska$128$128$111$1442
Connecticut$126$126$100$1514
New York$126$104$54$30014
Kentucky$125$118$115$1718
South Carolina$125$120$120$1445
New Mexico$123$123$123$1231
Arizona$122$118$108$13024
Massachusetts$119$114$85$20230
Washington$116$111$111$1558
District of Columbia$114$114$76$1522
New Jersey$107$83$66$19413
Michigan$106$106$93$1202
Georgia$105$86$64$1627
Wisconsin$105$103$37$1787
Indiana$104$119$79$17829
Illinois$104$98$43$17812
Pennsylvania$104$114$81$1163
Maine$104$104$72$1352
North Carolina$102$109$52$1709
Texas$99$114$43$1339
Maryland$95$84$82$1193
Tennessee$91$95$68$1185
New Hampshire$85$85$85$854
Alabama$84$84$84$845
Ohio$82$87$43$1095
Utah$80$80$75$862
Virginia$74$73$69$806
Missouri$73$70$43$1125
Idaho$72$64$43$1083
Delaware$71$71$71$711
Louisiana$64$64$64$6416
North Dakota$62$68$40$773
Iowa$55$43$43$14011
Nebraska$51$51$43$6210
Kansas$47$47$43$512
South Dakota$43$43$43$431
Minnesota$42$37$37$598
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