Negotiated reimbursement rates for D0385 across 3 states, sourced from CMS Transparency in Coverage data. 22 rate records.
D0385 refers to Cone Beam CT — Maxillofacial Image Capture, which captures detailed images of the maxillofacial region for diagnostic and treatment planning purposes. This procedure is particularly useful in oral surgery, orthodontics, and trauma cases. Documentation should include the clinical indications for the capture and any relevant patient history. Reimbursement for D0385 can differ by payor and state, with some insurers offering comprehensive coverage for maxillofacial imaging.
Reimbursement rates for D0385 vary significantly by state, payor, and provider network. The national average negotiated rate is $332. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| New York | $398 |
| California | $342 |
| Nevada | $341 |
| State | Avg Rate |
|---|---|
| New York | $398 |
| California | $342 |
| Nevada | $341 |