Negotiated reimbursement rates for D0393 across 12 states, sourced from CMS Transparency in Coverage data. 99 rate records.
D0393 is used for treatment simulation using 3D imaging technology. This procedure is particularly beneficial in complex cases such as orthodontics, implant planning, and surgical simulations. Clinical indications include cases where visualizing the treatment outcome in three dimensions aids in patient understanding and treatment planning. Documentation should include the specific treatment being simulated, the technology used, and any patient consent forms. Reimbursement for D0393 varies widely among payors, with some providing comprehensive coverage while others may have restrictions based on the clinical scenario. The average reimbursement for this procedure is approximately $232.
Reimbursement rates for D0393 vary significantly by state, payor, and provider network. The national average negotiated rate is $232. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| Nevada | $333 |
| Tennessee | $328 |
| New York | $229 |
| Arizona | $228 |
| California | $203 |
| State | Avg Rate |
|---|---|
| Connecticut | $190 |
| New Jersey | $172 |
| Virginia | $171 |
| Michigan | $168 |
| Ohio | $138 |