Negotiated reimbursement rates for D9120 across 28 states, sourced from CMS Transparency in Coverage data. 132 rate records.
D9120 is the code for fixed partial denture sectioning. This procedure is indicated when a fixed partial denture needs to be sectioned for removal or adjustment. Clinical documentation should detail the reason for sectioning, including any complications or the condition of the existing prosthesis. Average reimbursement for this procedure is approximately $112, but it can differ based on the patient's insurance coverage and state-specific regulations. It's important to confirm coverage details with payors, as some may have restrictions on reimbursement for this procedure.
Reimbursement rates for D9120 vary significantly by state, payor, and provider network. The national average negotiated rate is $112. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| West Virginia | $400 |
| North Dakota | $175 |
| New York | $157 |
| South Carolina | $143 |
| District of Columbia | $117 |
| State | Avg Rate |
|---|---|
| Connecticut | $52 |
| New Hampshire | $52 |
| Kentucky | $51 |
| Massachusetts | $50 |
| Michigan | $49 |