Repair Cast Partial Framework (Upper) (D5621) in New York

Negotiated reimbursement rates for D5621 from CMS Transparency in Coverage data. Based on 23 rate records from 23 providers in New York.

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Average Negotiated Rate in New York
$151
23 rate records · 23 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D5621 in New York. 21 provider records.

Provider City Rate Percentile
EndodontistLiverpool$240100th
EndodontistLiverpool$240100th
EndodontistFort Drum$240100th
EndodontistLiverpool$240100th
EndodontistLiverpool$240100th
Oral SurgeonValhalla$19474th
General DentistMt Vernon$19170th
General DentistBayshore$17665th
Oral SurgeonBronx$17261st
General DentistNew York$14857th
OrthodontistBronx$12152nd
PeriodontistNew Hyde Park$10348th
Dental LabEast Meadow$10348th
General DentistNew Hyde Park$10348th
Oral SurgeonBrooklyn$10348th
General DentistGlendale$10130th
General DentistCanandaigua$9826th
General DentistBronx$9622nd
Pediatric DentistPoughkeepsie$8917th
General DentistCohoes$739th

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What is D5621?

Repair Cast Partial Framework (Upper) (CDT Code D5621) — These rates represent negotiated amounts between dental insurance payors and providers in New York as reported in CMS Transparency in Coverage machine-readable files.

Top States for D5621

Connecticut
$193
2 records
Wisconsin
$187
5 records
Illinois
$179
2 records

39+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$121
Low
$72
High
$240
25th Percentile
$100
75th Percentile
$217
Data Points
23

Compare D5621 Rates Across All 42 States

Connecticut
$193
Wisconsin
$187
Illinois
$179
North Dakota
$170
Colorado
$168
Nevada
$167
Arizona
$160
Utah
$158
Delaware
$157
New York
$151
Indiana
$148
Virginia
$147
Georgia
$147
California
$143
Michigan
$143
New Mexico
$142
Florida
$142
New Hampshire
$141
District of Columbia
$134
South Carolina
$130
Pennsylvania
$129
Maryland
$128
Texas
$128
Maine
$128
New Jersey
$125
Ohio
$123
Oregon
$120
North Carolina
$120
Missouri
$113
Alaska
$113
Massachusetts
$112
Washington
$112
Minnesota
$104
Kentucky
$97
Rhode Island
$84
Hawaii
$82
Idaho
$82
Louisiana
$81
Vermont
$80
Tennessee
$76
Iowa
$72
Arkansas
$68
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