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Custom Root Canal Procedure

Missouri rates for HCPCS D3999

A root canal or tooth-nerve related treatment that doesn't match one of the standard, commonly used procedures, so your dentist provides a detailed explanation of exactly what was performed. It's used for unusual cases involving the inside of a tooth that need an individualized approach.

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $100$1000%50%100%$100Professionalmedian $112 · 10th–90th $112$1120%50%100%$112$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00