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Custom Tooth Restoration Procedure

Nebraska 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 $5,129 · 10th to 90th $3,981 to $10,000Professionalmedian $1,288 · 10th to 90th $1,288 to $1,288
$2.0K$5.0K$10.0Kfacility $5,129professional $1,288

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,128.61
Typical High
$10,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25