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Custom Tooth Restoration Procedure

Minnesota 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 rates vary

Facilitymedian $3,890 · 10th to 90th $813 to $6,457Professionalmedian $85 · 10th to 90th $76 to $95
$100$200$500$1K$2K$5K$10Kfacility $3,890professional $85

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

Rates by insurance carrier

Insurance Carrier
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$3,890.45
Typical High
$6,456.54
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$85.11
Typical High
$95.50
Medica
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25