Bone Replacement Graft — First Site (Per Quad) (D4263) — National Rates

Negotiated reimbursement rates for D4263 across 44 states, sourced from CMS Transparency in Coverage data. 532 rate records.

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National Average Negotiated Rate
$293
532 rate records · 44 states
📊 Data updated monthly · Last refresh: March 2026

About D4263 — Bone Replacement Graft — First Site (Per Quad)

D4263 is the code for Bone Replacement Graft — First Site (Per Quad), which involves the placement of bone graft material to promote bone regeneration in areas affected by periodontal disease or tooth loss. This procedure is indicated when there is a need to restore bone volume for future dental implants or to support existing teeth. Documentation must include the clinical rationale for the grafting procedure, details of the graft material used, and the surgical technique employed. Reimbursement for D4263 can vary significantly depending on the payor and state, with some insurance companies covering the procedure more favorably than others. The average reimbursement for this procedure is around $293, and dental billing professionals should verify coverage specifics with each insurance provider to ensure accurate claims processing.

Reimbursement rates for D4263 vary significantly by state, payor, and provider network. The national average negotiated rate is $293. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4263

Missouri
$427
20 records
District of Columbia
$407
4 records
Minnesota
$367
5 records

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Full National Breakdown

Median
$279
Low
$83
High
$1,105

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Missouri$427
District of Columbia$407
Minnesota$367
New Hampshire$365
Oregon$359

↓ Bottom 5

StateAvg Rate
West Virginia$191
North Dakota$188
Tennessee$184
Indiana$171
Idaho$154

All States — D4263 Average Rates

Missouri
$427
District of Columbia
$407
Minnesota
$367
New Hampshire
$365
Oregon
$359
Connecticut
$353
Nevada
$352
Colorado
$344
Maine
$344
Washington
$332
New York
$316
Wisconsin
$315
Arizona
$313
California
$313
Pennsylvania
$309
Utah
$305
Ohio
$299
Hawaii
$282
Florida
$278
South Carolina
$276
Arkansas
$273
New Mexico
$266
Texas
$266
Michigan
$266
Alaska
$262
Iowa
$258
Oklahoma
$253
Kentucky
$251
Maryland
$248
New Jersey
$247
Georgia
$240
Kansas
$240
Massachusetts
$238
Illinois
$237
Wyoming
$226
Nebraska
$225
Virginia
$200
Alabama
$198
North Carolina
$194
West Virginia
$191
North Dakota
$188
Tennessee
$184
Indiana
$171
Idaho
$154
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Missouri$427$467$168$46720
District of Columbia$407$418$275$5184
Minnesota$367$337$205$5875
New Hampshire$365$360$156$4838
Oregon$359$366$300$36610
Connecticut$353$408$150$4464
Nevada$352$298$208$84022
Colorado$344$280$150$59610
Maine$344$344$344$3441
Washington$332$324$310$3668
New York$316$287$139$1,10519
Wisconsin$315$320$174$39915
Arizona$313$294$276$3569
California$313$332$123$467109
Pennsylvania$309$312$144$46715
Utah$305$258$190$4673
Ohio$299$291$172$41912
Hawaii$282$282$239$3263
Florida$278$257$146$44527
South Carolina$276$251$156$53434
Arkansas$273$273$273$2731
New Mexico$266$239$202$3864
Texas$266$240$235$33710
Michigan$266$236$156$46710
Alaska$262$262$262$2623
Iowa$258$258$225$2902
Oklahoma$253$267$195$2675
Kentucky$251$244$160$3758
Maryland$248$275$144$36918
New Jersey$247$254$123$40214
Georgia$240$233$139$40216
Kansas$240$168$168$4679
Massachusetts$238$238$210$2652
Illinois$237$185$150$3667
Wyoming$226$226$226$2261
Nebraska$225$225$225$2252
Virginia$200$212$150$2387
Alabama$198$192$184$2115
North Carolina$194$159$138$28614
West Virginia$191$191$191$1911
North Dakota$188$137$123$4025
Tennessee$184$154$152$2536
Indiana$171$150$150$28818
Idaho$154$147$143$1804
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