Apically Positioned Flap (D4245) — National Rates

Negotiated reimbursement rates for D4245 across 46 states, sourced from CMS Transparency in Coverage data. 517 rate records.

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National Average Negotiated Rate
$342
517 rate records · 46 states
📊 Data updated monthly · Last refresh: March 2026

About D4245 — Apically Positioned Flap

CDT Code D4245 covers Apically Positioned Flap. The national average negotiated rate is $342. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4245

Maine
$884
4 records
Colorado
$535
13 records
Washington
$515
6 records

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Full National Breakdown

Median
$330
Low
$83
High
$919

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$884
Colorado$535
Washington$515
Nevada$506
Ohio$498

↓ Bottom 5

StateAvg Rate
Alaska$228
Idaho$203
Rhode Island$192
Tennessee$190
Hawaii$163

All States — D4245 Average Rates

Maine
$884
Colorado
$535
Washington
$515
Nevada
$506
Ohio
$498
New Hampshire
$472
Indiana
$447
Arizona
$425
Massachusetts
$412
Puerto Rico
$404
Michigan
$399
South Carolina
$371
Florida
$369
Oregon
$367
California
$354
Missouri
$348
New York
$344
Utah
$329
District of Columbia
$327
Oklahoma
$323
Georgia
$315
Texas
$315
Connecticut
$308
Iowa
$305
Illinois
$297
Wisconsin
$293
Pennsylvania
$293
Nebraska
$291
Louisiana
$290
Maryland
$283
Kansas
$281
West Virginia
$279
Kentucky
$269
Arkansas
$268
Minnesota
$267
North Carolina
$253
New Mexico
$252
Alabama
$247
North Dakota
$243
New Jersey
$243
Virginia
$234
Alaska
$228
Idaho
$203
Rhode Island
$192
Tennessee
$190
Hawaii
$163
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$884$884$850$9194
Colorado$535$680$232$68713
Washington$515$580$163$6166
Nevada$506$505$313$72216
Ohio$498$561$203$59612
New Hampshire$472$412$412$8938
Indiana$447$455$172$7074
Arizona$425$415$163$85013
Massachusetts$412$412$296$5248
Puerto Rico$404$404$404$4041
Michigan$399$381$332$4853
South Carolina$371$365$178$60429
Florida$369$384$216$50022
Oregon$367$410$280$4103
California$354$413$159$52265
Missouri$348$340$259$50924
New York$344$354$140$66731
Utah$329$329$310$3482
District of Columbia$327$243$241$4973
Oklahoma$323$323$256$3902
Georgia$315$360$159$43510
Texas$315$304$192$46016
Connecticut$308$320$258$3324
Iowa$305$305$280$3304
Illinois$297$326$194$3746
Wisconsin$293$270$192$4207
Pennsylvania$293$243$164$45712
Nebraska$291$277$277$3324
Louisiana$290$290$290$2901
Maryland$283$284$164$41225
Kansas$281$280$159$35914
West Virginia$279$208$181$5618
Kentucky$269$190$183$5154
Arkansas$268$261$204$3393
Minnesota$267$192$192$47114
North Carolina$253$268$158$3659
New Mexico$252$252$230$2732
Alabama$247$238$210$2926
North Dakota$243$188$140$5396
New Jersey$243$184$159$50346
Virginia$234$201$175$39516
Alaska$228$228$156$2992
Idaho$203$163$163$2695
Rhode Island$192$192$167$2182
Tennessee$190$200$159$2004
Hawaii$163$163$163$1631
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