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Custom Tooth Restoration Procedure

Florida rates for HCPCS D2999

A tooth-repair treatment that doesn't match one of the standard, commonly used restoration procedures, so your dentist describes exactly what was done in detail. It's used for less typical situations where a tooth needs a customized approach to repair or rebuild it.

Rates data updated October 2026.

How much does Custom Tooth Restoration Procedure cost?

$631

Typical facility fee. In Florida, October 2026.

Insurers have agreed to pay about $631 for this service. Most negotiated rates run $617 to $37,154.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $631 · 10th to 90th $617 to $70,795Professionalmedian $447 · 10th to 90th $50 to $447
$100$1K$10K$100Kfacility $631professional $447

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AvMed
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$630.96
Typical High
$70,794.58
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12

Where Florida sits

The same service costs 588843.7 times more in Pennsylvania than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 15th of 35

$631

PA $58,884NY $0.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.