Rates› D4277

Free Soft Tissue Graft (First Tooth) (D4277) — National Rates

Negotiated reimbursement rates for D4277 across 48 states, sourced from CMS Transparency in Coverage data. 753 rate records.

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National Average Negotiated Rate
$713
753 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D4277 — Free Soft Tissue Graft (First Tooth)

CDT Code D4277 covers Free Soft Tissue Graft (First Tooth). The national average negotiated rate is $713. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4277

Maine
$1,087
11 records
New York
$1,017
23 records
New Hampshire
$987
12 records

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Full National Breakdown

Median
$689
Low
$83
High
$2,100

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$1,087
New York$1,017
New Hampshire$987
District of Columbia$940
California$840

↓ Bottom 5

StateAvg Rate
Idaho$496
Kansas$473
Alabama$471
Nebraska$409
Wyoming$372

All States — D4277 Average Rates

Maine
$1,087
New York
$1,017
New Hampshire
$987
District of Columbia
$940
California
$840
New Jersey
$831
Georgia
$825
Indiana
$793
Maryland
$793
Connecticut
$778
Pennsylvania
$777
Virginia
$753
Florida
$734
Oregon
$728
Massachusetts
$721
West Virginia
$704
Delaware
$691
Alaska
$689
Wisconsin
$683
South Dakota
$682
Texas
$670
Michigan
$667
Mississippi
$661
Ohio
$659
Washington
$658
South Carolina
$646
North Carolina
$630
Nevada
$615
North Dakota
$612
Colorado
$610
Missouri
$607
Arizona
$586
Oklahoma
$584
New Mexico
$581
Rhode Island
$578
Illinois
$564
Tennessee
$552
Minnesota
$540
Kentucky
$536
Iowa
$532
Hawaii
$516
Utah
$514
Louisiana
$514
Idaho
$496
Kansas
$473
Alabama
$471
Nebraska
$409
Wyoming
$372
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$1,087$1,043$993$1,26011
New York$1,017$689$226$2,10023
New Hampshire$987$944$944$1,20012
District of Columbia$940$940$900$9802
California$840$839$226$1,37356
New Jersey$831$851$488$1,26024
Georgia$825$896$422$1,109114
Indiana$793$873$455$1,1095
Maryland$793$895$436$94422
Connecticut$778$818$687$8518
Pennsylvania$777$698$505$2,10014
Virginia$753$814$465$8958
Florida$734$764$444$85837
Oregon$728$689$638$8573
Massachusetts$721$656$443$1,10915
West Virginia$704$704$704$7041
Delaware$691$638$549$9374
Alaska$689$689$634$7442
Wisconsin$683$689$528$68935
South Dakota$682$682$682$6821
Texas$670$614$530$99414
Michigan$667$632$559$8056
Mississippi$661$614$614$7543
Ohio$659$680$512$78327
Washington$658$649$584$87810
South Carolina$646$700$390$1,04333
North Carolina$630$615$443$1,04330
Nevada$615$580$474$1,00321
North Dakota$612$617$414$9755
Colorado$610$617$443$90418
Missouri$607$563$428$90241
Arizona$586$629$320$72714
Oklahoma$584$512$433$1,0838
New Mexico$581$612$428$7033
Rhode Island$578$578$578$5781
Illinois$564$515$497$80020
Tennessee$552$585$352$75413
Minnesota$540$448$339$85028
Kentucky$536$524$486$62910
Iowa$532$532$376$6892
Hawaii$516$538$360$5996
Utah$514$512$447$5833
Louisiana$514$545$420$5454
Idaho$496$487$456$5544
Kansas$473$431$336$6175
Alabama$471$489$440$4925
Nebraska$409$410$285$5323
Wyoming$372$372$372$3721
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