Negotiated reimbursement rates for D3428 across 43 states, sourced from CMS Transparency in Coverage data. 424 rate records.
D3428 refers to a retrograde filling procedure performed per root. This procedure is typically indicated when there is a need to seal the root canal from the apex due to infection or to enhance the success of an apicoectomy. Documentation should include the rationale for the procedure, any relevant imaging, and post-operative instructions. The average reimbursement for this procedure is approximately $196, but it can differ based on the insurance provider and state regulations. Some payors may require prior authorization or specific documentation to approve reimbursement for retrograde fillings.
Reimbursement rates for D3428 vary significantly by state, payor, and provider network. The national average negotiated rate is $196. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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