Rates› D4211

Gingivectomy/Gingivoplasty — 1–3 Teeth (Per Quad) (D4211) — National Rates

Negotiated reimbursement rates for D4211 across 48 states, sourced from CMS Transparency in Coverage data. 558 rate records.

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National Average Negotiated Rate
$160
558 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D4211 — Gingivectomy/Gingivoplasty — 1–3 Teeth (Per Quad)

Gingivectomy or gingivoplasty for 1-3 teeth per quadrant is similar to D4210 but is performed on fewer teeth. This procedure is indicated for localized periodontal issues or for cosmetic reasons. Proper documentation is crucial, including the extent of the periodontal disease and the specific teeth involved. As with D4210, reimbursement rates can vary widely among payors and states, with some plans providing coverage under periodontal services. The average reimbursement for this procedure is around $160.

Reimbursement rates for D4211 vary significantly by state, payor, and provider network. The national average negotiated rate is $160. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4211

Maine
$318
10 records
New Hampshire
$306
1 records
Alaska
$232
1 records

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Full National Breakdown

Median
$152
Low
$42
High
$695

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$318
New Hampshire$306
Alaska$232
Delaware$213
New Mexico$212

↓ Bottom 5

StateAvg Rate
Nebraska$73
Alabama$70
Tennessee$66
Idaho$60
Vermont$60

All States — D4211 Average Rates

Maine
$318
New Hampshire
$306
Alaska
$232
Delaware
$213
New Mexico
$212
Utah
$208
Wisconsin
$206
California
$205
District of Columbia
$205
Michigan
$200
Ohio
$199
Nevada
$199
New Jersey
$197
Connecticut
$195
Colorado
$194
Indiana
$188
North Carolina
$186
South Carolina
$168
Maryland
$166
Oregon
$163
Pennsylvania
$163
Georgia
$158
Washington
$155
Illinois
$150
Texas
$143
Florida
$138
Rhode Island
$130
Missouri
$128
North Dakota
$125
New York
$125
Virginia
$124
Montana
$124
Arkansas
$120
Massachusetts
$118
Kentucky
$117
Hawaii
$116
Iowa
$110
Louisiana
$108
Mississippi
$106
Minnesota
$106
Arizona
$102
Oklahoma
$77
Kansas
$73
Nebraska
$73
Alabama
$70
Tennessee
$66
Idaho
$60
Vermont
$60
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$318$306$291$38210
New Hampshire$306$306$306$3061
Alaska$232$232$232$2321
Delaware$213$213$213$2131
New Mexico$212$211$211$2175
Utah$208$208$94$3212
Wisconsin$206$207$203$2073
California$205$217$60$348113
District of Columbia$205$184$145$3054
Michigan$200$222$128$2294
Ohio$199$190$95$2788
Nevada$199$183$84$3237
New Jersey$197$219$95$27323
Connecticut$195$208$95$25011
Colorado$194$226$42$24240
Indiana$188$200$60$3033
North Carolina$186$175$134$3068
South Carolina$168$180$55$30622
Maryland$166$145$129$27121
Oregon$163$152$131$2174
Pennsylvania$163$157$146$1914
Georgia$158$170$115$30622
Washington$155$96$60$3093
Illinois$150$151$60$2298
Texas$143$106$100$24320
Florida$138$133$95$21720
Rhode Island$130$130$130$1302
Missouri$128$119$106$19110
North Dakota$125$121$109$1678
New York$125$95$60$69525
Virginia$124$132$58$14212
Montana$124$124$124$1243
Arkansas$120$120$120$1201
Massachusetts$118$121$92$1535
Kentucky$117$105$60$1994
Hawaii$116$84$84$2114
Iowa$110$58$42$2293
Louisiana$108$88$88$1408
Mississippi$106$88$60$1713
Minnesota$106$112$62$1446
Arizona$102$60$60$1863
Oklahoma$77$77$77$771
Kansas$73$73$64$822
Nebraska$73$58$53$1215
Alabama$70$72$65$736
Tennessee$66$60$60$27854
Idaho$60$60$60$601
Vermont$60$60$60$601
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