Negotiated reimbursement rates for D0395 across 6 states, sourced from CMS Transparency in Coverage data. 34 rate records.
D0395 refers to the fusion of two or more 3D volumes, which is essential in cases where multiple imaging modalities are used to create a comprehensive view of a patient's anatomy. This procedure is particularly indicated in complex surgical planning, such as for implants or reconstructive surgery. Documentation should detail the volumes fused, the clinical rationale, and any relevant patient history. Reimbursement for D0395 can vary by payor, with some insurers offering robust coverage while others may impose limitations. The average reimbursement for this procedure is approximately $303.
Reimbursement rates for D0395 vary significantly by state, payor, and provider network. The national average negotiated rate is $303. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
3+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| Utah | $326 |
| Nevada | $326 |
| California | $316 |
| Arizona | $316 |
| Ohio | $313 |
| State | Avg Rate |
|---|---|
| Nevada | $326 |
| California | $316 |
| Arizona | $316 |
| Ohio | $313 |
| Pennsylvania | $111 |