Autogenous Connective Tissue Graft (Each Add'l Tooth) (D4283) — National Rates

Negotiated reimbursement rates for D4283 across 48 states, sourced from CMS Transparency in Coverage data. 583 rate records.

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National Average Negotiated Rate
$289
583 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D4283 — Autogenous Connective Tissue Graft (Each Add'l Tooth)

D4283 pertains to autogenous connective tissue grafts for each additional tooth. This procedure is often indicated for patients with significant gingival recession or those requiring tissue augmentation for aesthetic or functional reasons. Documentation should include clinical notes detailing the rationale for the graft, as well as any relevant imaging. The average reimbursement for D4283 is approximately $289, but this can vary based on the patient's insurance plan and state regulations. Some payors may have specific criteria that must be met for coverage, so it is advisable to verify benefits prior to treatment to ensure proper billing and minimize patient out-of-pocket expenses.

Reimbursement rates for D4283 vary significantly by state, payor, and provider network. The national average negotiated rate is $289. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4283

Maine
$481
4 records
Nevada
$453
23 records
New Hampshire
$441
10 records

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Full National Breakdown

Median
$272
Low
$61
High
$1,398

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$481
Nevada$453
New Hampshire$441
Connecticut$411
New York$411

↓ Bottom 5

StateAvg Rate
Wyoming$156
Louisiana$148
Kansas$134
Nebraska$85
Iowa$80

All States — D4283 Average Rates

Maine
$481
Nevada
$453
New Hampshire
$441
Connecticut
$411
New York
$411
Colorado
$399
Massachusetts
$375
District of Columbia
$374
Wisconsin
$365
Virginia
$361
North Dakota
$355
South Carolina
$330
California
$323
Indiana
$312
Missouri
$308
Arizona
$304
West Virginia
$298
Alaska
$294
Washington
$291
Ohio
$284
Kentucky
$280
Georgia
$279
Maryland
$278
Delaware
$269
Rhode Island
$267
New Jersey
$264
Florida
$263
Alabama
$249
Illinois
$249
Pennsylvania
$248
North Carolina
$239
Texas
$237
Michigan
$236
Hawaii
$234
Oklahoma
$230
New Mexico
$227
Utah
$221
South Dakota
$186
Mississippi
$183
Oregon
$177
Minnesota
$172
Tennessee
$171
Idaho
$157
Wyoming
$156
Louisiana
$148
Kansas
$134
Nebraska
$85
Iowa
$80
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$481$487$463$4884
Nevada$453$441$240$61423
New Hampshire$441$430$430$48810
Connecticut$411$420$315$4914
New York$411$334$156$1,39813
Colorado$399$452$202$46320
Massachusetts$375$388$250$43010
District of Columbia$374$372$338$4133
Wisconsin$365$390$195$42119
Virginia$361$431$172$49712
North Dakota$355$154$138$9734
South Carolina$330$299$198$70021
California$323$306$138$51050
Indiana$312$228$228$51510
Missouri$308$316$222$3568
Arizona$304$316$140$4526
West Virginia$298$298$219$3762
Alaska$294$294$221$3672
Washington$291$292$278$3043
Ohio$284$275$219$45754
Kentucky$280$254$254$4089
Georgia$279$301$190$35225
Maryland$278$276$225$43014
Delaware$269$269$269$2691
Rhode Island$267$267$267$2671
New Jersey$264$253$138$41115
Florida$263$285$112$33735
Alabama$249$221$186$52516
Illinois$249$188$112$51514
Pennsylvania$248$233$190$3569
North Carolina$239$234$184$44849
Texas$237$202$156$45225
Michigan$236$232$161$3164
Hawaii$234$234$234$2341
Oklahoma$230$178$116$4484
New Mexico$227$227$227$2271
Utah$221$156$140$5045
South Dakota$186$186$186$1861
Mississippi$183$216$112$2213
Oregon$177$196$140$1963
Minnesota$172$162$78$2397
Tennessee$171$167$100$2595
Idaho$157$166$143$1665
Wyoming$156$156$156$1561
Louisiana$148$128$112$21616
Kansas$134$125$90$2409
Nebraska$85$90$61$9012
Iowa$80$90$61$903
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