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Custom Additional Dental Procedure

Oklahoma 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.

Rates data updated October 2026.

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,259 to $9,550
$1K$2K$5K$10Kfacility $5,623

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$5,623.41
Typical High
$9,549.93
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00