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Custom Tooth Restoration Procedure

South Carolina 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 $2,291 · 10th to 90th $1,445 to $4,266Professionalmedian $30 · 10th to 90th $30 to $30
$50$100$200$500$1K$2K$5Kfacility $2,291professional $30

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
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,290.87
Typical High
$4,265.80
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20