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Custom Fixed Bridge Procedure

South Dakota rates for HCPCS D6999

A treatment related to a fixed bridge or other permanently attached replacement teeth that doesn't match one of the standard, commonly used procedures, so your dentist provides a detailed explanation of exactly what was done. It's used for less typical situations involving bridges or similar fixed restorations.

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $372$3720%50%100%$372Professionalmedian $302 · 10th–90th $302$3020%50%100%$302

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
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00