Negotiated reimbursement rates for D8696 across 24 states, sourced from CMS Transparency in Coverage data. 135 rate records.
The CDT code D8696 refers to the repair of an orthodontic appliance. This procedure is typically indicated when an orthodontic device, such as a bracket or wire, becomes damaged or dislodged, necessitating repair to ensure the effectiveness of the orthodontic treatment. Documentation for this procedure should include a detailed description of the damage, the specific repairs performed, and any relevant clinical notes. Reimbursement for this code can vary significantly by payor and state, with average reimbursement around $139. Some insurance plans may have specific limitations or require prior authorization, so it's essential to verify coverage details before proceeding with billing.
Reimbursement rates for D8696 vary significantly by state, payor, and provider network. The national average negotiated rate is $139. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
21+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| Arizona | $380 |
| Florida | $222 |
| Colorado | $198 |
| New York | $195 |
| Oregon | $185 |
| State | Avg Rate |
|---|---|
| Michigan | $93 |
| Connecticut | $92 |
| Maryland | $85 |
| Indiana | $83 |
| South Carolina | $77 |