Guided Tissue Regeneration (Periradicular Surgery) (D3432) — National Rates

Negotiated reimbursement rates for D3432 across 47 states, sourced from CMS Transparency in Coverage data. 585 rate records.

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National Average Negotiated Rate
$345
585 rate records · 47 states
📊 Data updated monthly · Last refresh: March 2026

About D3432 — Guided Tissue Regeneration (Periradicular Surgery)

D3432 is the code for guided tissue regeneration during periradicular surgery, a procedure aimed at promoting the regeneration of periodontal tissues after surgical intervention. This treatment is indicated in cases of severe periodontal disease or after apical surgery where tissue regeneration is desired. Proper documentation is crucial, including surgical notes, pre-operative and post-operative radiographs, and a detailed explanation of the procedure's necessity. Reimbursement for this procedure varies by payor and can be influenced by state regulations, with an average reimbursement of around $345. Dental billing professionals should be aware of the specific requirements of each insurance plan to ensure appropriate claims submission.

Reimbursement rates for D3432 vary significantly by state, payor, and provider network. The national average negotiated rate is $345. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D3432

Maine
$533
8 records
Pennsylvania
$486
38 records
New Hampshire
$468
8 records

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Full National Breakdown

Median
$325
Low
$83
High
$700

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$533
Pennsylvania$486
New Hampshire$468
Minnesota$455
Oregon$443

↓ Bottom 5

StateAvg Rate
North Carolina$209
Rhode Island$207
North Dakota$194
Indiana$191
District of Columbia$183

All States — D3432 Average Rates

Maine
$533
Pennsylvania
$486
New Hampshire
$468
Minnesota
$455
Oregon
$443
West Virginia
$429
Washington
$414
Colorado
$413
Kansas
$402
New York
$398
Illinois
$397
Nevada
$381
Arizona
$380
Hawaii
$376
California
$368
Ohio
$366
Massachusetts
$363
Missouri
$358
Connecticut
$358
Kentucky
$356
South Carolina
$356
Georgia
$342
Michigan
$335
Florida
$313
Virginia
$310
Texas
$309
Puerto Rico
$305
Alaska
$298
Louisiana
$286
Utah
$286
New Jersey
$285
Alabama
$284
Oklahoma
$281
New Mexico
$275
Maryland
$262
Mississippi
$252
Wisconsin
$246
Iowa
$240
Nebraska
$240
Arkansas
$239
Tennessee
$236
Idaho
$227
North Carolina
$209
Rhode Island
$207
North Dakota
$194
Indiana
$191
District of Columbia
$183
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$533$578$177$6508
Pennsylvania$486$541$211$59338
New Hampshire$468$458$311$6838
Minnesota$455$455$200$63212
Oregon$443$443$443$4431
West Virginia$429$429$429$4291
Washington$414$433$177$46210
Colorado$413$432$258$59315
Kansas$402$343$340$6837
New York$398$316$176$65011
Illinois$397$416$234$5413
Nevada$381$384$264$4669
Arizona$380$404$168$45218
Hawaii$376$376$308$4442
California$368$344$156$58176
Ohio$366$336$225$5566
Massachusetts$363$347$185$61411
Missouri$358$343$289$59332
Connecticut$358$392$183$4516
Kentucky$356$435$203$5005
South Carolina$356$338$198$70023
Georgia$342$376$176$54117
Michigan$335$325$272$4055
Florida$313$288$181$40537
Virginia$310$293$195$57819
Texas$309$305$194$52564
Puerto Rico$305$305$305$3052
Alaska$298$298$265$3322
Louisiana$286$248$212$5268
Utah$286$286$273$2982
New Jersey$285$232$156$44125
Alabama$284$286$244$3385
Oklahoma$281$281$281$2811
New Mexico$275$275$275$2752
Maryland$262$208$183$59320
Mississippi$252$257$244$25710
Wisconsin$246$246$221$2702
Iowa$240$240$240$2401
Nebraska$240$240$240$2402
Arkansas$239$210$164$3433
Tennessee$236$176$168$4555
Idaho$227$227$227$2271
North Carolina$209$188$175$40524
Rhode Island$207$185$185$3058
North Dakota$194$174$156$2714
Indiana$191$191$191$1911
District of Columbia$183$183$183$1831
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