Rates› D4275

Non-Autogenous Connective Tissue Graft (First Tooth) (D4275) — National Rates

Negotiated reimbursement rates for D4275 across 48 states, sourced from CMS Transparency in Coverage data. 609 rate records.

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National Average Negotiated Rate
$416
609 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D4275 — Non-Autogenous Connective Tissue Graft (First Tooth)

CDT Code D4275 covers Non-Autogenous Connective Tissue Graft (First Tooth). The national average negotiated rate is $416. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4275

Washington
$634
5 records
Nevada
$614
17 records
Oregon
$592
2 records

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Full National Breakdown

Median
$389
Low
$83
High
$1,889

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Washington$634
Nevada$614
Oregon$592
Texas$546
District of Columbia$546

↓ Bottom 5

StateAvg Rate
Tennessee$266
Kentucky$262
Idaho$244
Iowa$224
South Dakota$207

All States — D4275 Average Rates

Washington
$634
Nevada
$614
Oregon
$592
Texas
$546
District of Columbia
$546
Florida
$543
New Hampshire
$524
North Dakota
$517
New York
$516
South Carolina
$509
Georgia
$483
Alabama
$483
Massachusetts
$481
Delaware
$478
Oklahoma
$476
Michigan
$470
Virginia
$436
California
$430
Maine
$424
Alaska
$406
Missouri
$406
Indiana
$398
Hawaii
$394
Arizona
$387
New Jersey
$375
West Virginia
$375
Kansas
$369
Connecticut
$368
Minnesota
$368
Pennsylvania
$346
Maryland
$345
Utah
$341
Ohio
$338
Nebraska
$325
New Mexico
$324
Colorado
$314
Mississippi
$300
Rhode Island
$295
Illinois
$284
Wisconsin
$283
Arkansas
$277
Louisiana
$273
North Carolina
$267
Tennessee
$266
Kentucky
$262
Idaho
$244
Iowa
$224
South Dakota
$207
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Washington$634$618$618$6785
Nevada$614$564$323$1,04417
Oregon$592$592$533$6512
Texas$546$500$204$97048
District of Columbia$546$479$331$8283
Florida$543$617$243$85831
New Hampshire$524$471$243$7525
North Dakota$517$402$191$1,0734
New York$516$422$253$1,88920
South Carolina$509$416$243$1,04021
Georgia$483$413$221$72523
Alabama$483$489$452$5083
Massachusetts$481$480$227$8519
Delaware$478$478$478$4781
Oklahoma$476$553$256$6193
Michigan$470$470$440$4992
Virginia$436$431$387$50311
California$430$422$191$1,044101
Maine$424$424$424$4241
Alaska$406$406$406$4061
Missouri$406$418$207$55917
Indiana$398$392$254$5564
Hawaii$394$466$222$4666
Arizona$387$418$253$53918
New Jersey$375$309$191$80122
West Virginia$375$375$375$3752
Kansas$369$336$207$5597
Connecticut$368$385$267$4374
Minnesota$368$366$170$49415
Pennsylvania$346$326$259$4678
Maryland$345$351$241$4937
Utah$341$348$310$3653
Ohio$338$276$207$56111
Nebraska$325$224$207$8017
New Mexico$324$324$314$3354
Colorado$314$298$216$50510
Mississippi$300$300$300$3001
Rhode Island$295$295$295$2951
Illinois$284$264$207$46412
Wisconsin$283$275$255$43016
Arkansas$277$277$208$3462
Louisiana$273$216$216$5005
North Carolina$267$250$215$43826
Tennessee$266$238$204$49412
Kentucky$262$254$249$43444
Idaho$244$222$207$3478
Iowa$224$207$207$3448
South Dakota$207$207$207$2071
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