Surgical Revision (Failed Previous Graft Site) (D4268) — National Rates

Negotiated reimbursement rates for D4268 across 15 states, sourced from CMS Transparency in Coverage data. 85 rate records.

🔓 Already a Pro subscriber?
Sign in to unlock full rate breakdowns, state comparisons, and provider-level data.
National Average Negotiated Rate
$409
85 rate records · 15 states
📊 Data updated monthly · Last refresh: March 2026

About D4268 — Surgical Revision (Failed Previous Graft Site)

D4268 is the code for Surgical Revision of a Failed Previous Graft Site. This procedure is indicated when a previously placed graft has not succeeded, necessitating surgical intervention to correct the issue. Clinical documentation should include the reasons for the graft failure, the surgical techniques employed, and any follow-up care planned. Reimbursement for this procedure can vary significantly by payor and state, with some insurers requiring extensive documentation or prior authorization. The average reimbursement for D4268 is around $409, but it is important for dental billing professionals to verify coverage details with each payor to ensure proper claims processing.

Reimbursement rates for D4268 vary significantly by state, payor, and provider network. The national average negotiated rate is $409. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4268

California
$593
13 records
Pennsylvania
$586
1 records
Washington
$489
1 records

12+ more states available with Pro ↓

Full National Breakdown

Median
$384
Low
$83
High
$723

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
California$593
Pennsylvania$586
Washington$489
South Carolina$432
Virginia$393

↓ Bottom 5

StateAvg Rate
Kentucky$302
Connecticut$254
Michigan$254
Nebraska$254
Texas$232

All States — D4268 Average Rates

California
$593
Pennsylvania
$586
Washington
$489
South Carolina
$432
Virginia
$393
New York
$382
Indiana
$355
Nevada
$338
District of Columbia
$327
New Jersey
$327
Kentucky
$302
Connecticut
$254
Michigan
$254
Nebraska
$254
Texas
$232
🔒

Unlock Full National Data

Get the complete national breakdown — median, percentiles, all 15 states, and top/bottom rankings. Free for 7 days.

  • ✓ Median, min/max, percentile distribution
  • ✓ All 15 states compared
  • ✓ Top/bottom state rankings
  • ✓ Full bar chart comparison
Get Pro Access →

$197/mo · Cancel anytime

State-by-State Comparison Table

StateAverageMedianMinMaxRecords
California$593$642$478$64213
Pennsylvania$586$586$586$5861
Washington$489$489$489$4891
South Carolina$432$409$262$60610
Virginia$393$393$393$3933
New York$382$325$254$58620
Indiana$355$370$310$3843
Nevada$338$244$227$72316
District of Columbia$327$327$327$3271
New Jersey$327$327$327$3271
Kentucky$302$302$302$3021
Connecticut$254$254$254$2541
Michigan$254$254$254$2541
Nebraska$254$254$254$2541
Texas$232$232$232$2321
🔒

Unlock Full Comparison Data

Get the full state-by-state comparison table, provider-level rates, and CSV export.

  • ✓ Full state-by-state comparison table
  • ✓ Provider-level rate lookup
  • ✓ Rate benchmarking tools
  • ✓ Export & download CSV
Start Pro — $197/mo

Founding member pricing · Cancel anytime