Negotiated reimbursement rates for D8698 across 25 states, sourced from CMS Transparency in Coverage data. 134 rate records.
The D8698 code is designated for the re-cementing or re-bonding of a fixed retainer in the mandibular arch. This procedure is necessary when a fixed retainer has become dislodged, which can negatively impact the alignment of the teeth. Documentation should detail the condition of the retainer, the re-cementing process, and any relevant clinical findings. The average reimbursement for this procedure is around $250, but it can differ based on the patient's insurance provider and state-specific guidelines. It is crucial to check with the payor for any pre-authorization requirements or coverage limitations.
Reimbursement rates for D8698 vary significantly by state, payor, and provider network. The national average negotiated rate is $250. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| Colorado | $305 |
| Michigan | $294 |
| Washington | $294 |
| Arizona | $290 |
| Florida | $286 |
| State | Avg Rate |
|---|---|
| New Jersey | $90 |
| Hawaii | $87 |
| Maryland | $85 |
| Indiana | $83 |
| Pennsylvania | $80 |