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Custom Tooth Restoration Procedure

Indiana 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 July 2026.

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1 to $2,630Professionalmedian $1 · 10th to 90th $1 to $2
$0.1$1.0$10.0$100.0$1.0Kfacility $1,995professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1,995.26
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67