Rates› California› D5621

Repair Cast Partial Framework (Upper) (D5621) in California

Negotiated reimbursement rates for D5621 from CMS Transparency in Coverage data. Based on 41 rate records from 40 providers in California.

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Average Negotiated Rate in California
$143
41 rate records · 40 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D5621 in California. 35 provider records.

Provider City Rate Percentile
Oral & Maxillofacial Surgery (MD)Palo Alto$228100th
General DentistSan Jose$228100th
Oral SurgeonLos Angeles$21095th
Dental LabLos Angeles$20893rd
EndodontistAntioch$18888th
EndodontistLos Angeles$18585th
Oral & Maxillofacial RadiologyPacific Palisades$18283rd
Pediatric DentistManhattan Beach$18180th
Pediatric DentistKelseyville$17478th
Oral SurgeonGlendale$16973rd
General DentistPalo Alto$15271st
OrthodontistCarson$14868th
Pediatric DentistGarden Grove$14868th
General DentistHuntington Beach$14868th
General DentistFreedom$14059th
General DentistUpland$13154th
General DentistLos Angeles$11951st
General DentistAnaheim$11649th
General DentistWhittier$11649th
General DentistAnaheim$11649th

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What is D5621?

Repair Cast Partial Framework (Upper) (CDT Code D5621) — These rates represent negotiated amounts between dental insurance payors and providers in California as reported in CMS Transparency in Coverage machine-readable files.

Top States for D5621

Connecticut
$193
2 records
Wisconsin
$187
5 records
Illinois
$179
2 records

39+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$119
Low
$104
High
$228
25th Percentile
$116
75th Percentile
$173
Data Points
41

Compare D5621 Rates Across All 42 States

Connecticut
$193
Wisconsin
$187
Illinois
$179
North Dakota
$170
Colorado
$168
Nevada
$167
Arizona
$160
Utah
$158
Delaware
$157
New York
$151
Indiana
$148
Virginia
$147
Georgia
$147
California
$143
Michigan
$143
New Mexico
$142
Florida
$142
New Hampshire
$141
District of Columbia
$134
South Carolina
$130
Pennsylvania
$129
Maryland
$128
Texas
$128
Maine
$128
New Jersey
$125
Ohio
$123
Oregon
$120
North Carolina
$120
Missouri
$113
Alaska
$113
Massachusetts
$112
Washington
$112
Minnesota
$104
Kentucky
$97
Rhode Island
$84
Hawaii
$82
Idaho
$82
Louisiana
$81
Vermont
$80
Tennessee
$76
Iowa
$72
Arkansas
$68
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