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Custom Additional Dental Procedure

Maine rates for HCPCS D9999

A dental service that supports or adds to your main treatment but doesn't match one of the standard, commonly used procedures, so your dentist provides a detailed explanation of exactly what was done. It covers a wide range of miscellaneous services that don't fit neatly elsewhere.

Professionalmedian $166 · 10th–90th $135$2510%20%10th90th$166$200.0$500.0

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

Insurance Carrier
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$251.19