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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 July 2026.

How much rates vary

Facilitymedian $5,012 · 10th to 90th $2,754 to $57,544Professionalmedian $64,565 · 10th to 90th $64,565 to $64,565
$5.0K$10.0K$20.0K$50.0Kfacility $5,012professional $64,565

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
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$5,011.87
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31