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Custom Tooth Restoration Procedure

Pennsylvania 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 $5,012 · 10th to 90th $2,754 to $8,710Professionalmedian $58,884 · 10th to 90th $58,884 to $58,884
$2K$5K$10K$20K$50Kfacility $5,012professional $58,884

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
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$5,011.87
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$3,311.31