Negotiated reimbursement rates for D7854 across 5 states, sourced from CMS Transparency in Coverage data. 24 rate records.
Synovectomy involves the surgical removal of the synovial membrane from the TMJ, often indicated for patients with inflammatory conditions such as arthritis. Documentation should include a thorough clinical examination, imaging studies, and a treatment plan outlining conservative treatments attempted prior to surgery. Reimbursement for D7854 typically averages around $5, but payor policies can differ significantly, with some plans requiring prior authorization or limiting coverage to specific diagnoses. State regulations may also influence reimbursement rates and coverage criteria.
Reimbursement rates for D7854 vary significantly by state, payor, and provider network. The national average negotiated rate is $5. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
2+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| New York | $8,295 |
| Pennsylvania | $8,295 |
| Arizona | $5,451 |
| Nevada | $5,353 |
| South Carolina | $4,306 |
| State | Avg Rate |
|---|---|
| New York | $8,295 |
| Pennsylvania | $8,295 |
| Arizona | $5,451 |
| Nevada | $5,353 |
| South Carolina | $4,306 |