Non-Autogenous Connective Tissue Graft (Each Add'l) (D4285) — National Rates

Negotiated reimbursement rates for D4285 across 44 states, sourced from CMS Transparency in Coverage data. 473 rate records.

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National Average Negotiated Rate
$198
473 rate records · 44 states
📊 Data updated monthly · Last refresh: March 2026

About D4285 — Non-Autogenous Connective Tissue Graft (Each Add'l)

D4285 covers non-autogenous connective tissue grafts for each additional tooth. This procedure is indicated when there is a need for tissue augmentation but the use of the patient's own tissue is not feasible. Documentation should clearly outline the clinical necessity for the graft and include any relevant diagnostic information. The average reimbursement for this procedure is around $198, but payor policies can vary significantly, with some insurers offering limited coverage or requiring prior authorization. It is essential for dental billing professionals to understand the specific requirements of each payor to ensure appropriate reimbursement.

Reimbursement rates for D4285 vary significantly by state, payor, and provider network. The national average negotiated rate is $198. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4285

New York
$573
21 records
Nevada
$371
16 records
Pennsylvania
$355
8 records

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Full National Breakdown

Median
$158
Low
$57
High
$1,575

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New York$573
Nevada$371
Pennsylvania$355
South Carolina$310
New Hampshire$283

↓ Bottom 5

StateAvg Rate
Utah$107
Montana$106
Kansas$103
Louisiana$100
North Dakota$97

All States — D4285 Average Rates

New York
$573
Nevada
$371
Pennsylvania
$355
South Carolina
$310
New Hampshire
$283
Maine
$280
California
$215
Michigan
$202
Oregon
$198
Colorado
$196
Connecticut
$192
Virginia
$185
Washington
$184
Alaska
$175
Nebraska
$174
Arkansas
$173
New Jersey
$171
Florida
$168
Missouri
$167
Wisconsin
$167
Georgia
$166
Arizona
$161
Illinois
$159
New Mexico
$158
Ohio
$149
Mississippi
$147
Rhode Island
$145
Massachusetts
$144
Kentucky
$141
Maryland
$141
Indiana
$139
Texas
$136
Hawaii
$129
Tennessee
$127
North Carolina
$121
Alabama
$116
Minnesota
$114
Idaho
$109
Iowa
$107
Utah
$107
Montana
$106
Kansas
$103
Louisiana
$100
North Dakota
$97
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New York$573$213$130$1,57521
Nevada$371$314$267$54316
Pennsylvania$355$203$127$1,5758
South Carolina$310$310$119$69014
New Hampshire$283$278$261$3154
Maine$280$280$261$3002
California$215$214$80$34362
Michigan$202$202$202$2021
Oregon$198$215$84$21511
Colorado$196$224$121$22612
Connecticut$192$209$137$2134
Virginia$185$220$117$2365
Washington$184$188$112$2498
Alaska$175$186$143$1953
Nebraska$174$103$57$5505
Arkansas$173$173$173$1731
New Jersey$171$178$80$25310
Florida$168$179$80$22538
Missouri$167$84$84$5509
Wisconsin$167$172$132$1973
Georgia$166$151$108$21612
Arizona$161$158$112$25826
Illinois$159$129$129$21510
New Mexico$158$158$158$1581
Ohio$149$137$131$1914
Mississippi$147$147$147$1471
Rhode Island$145$145$145$1451
Massachusetts$144$134$104$17418
Kentucky$141$143$124$1545
Maryland$141$118$118$2039
Indiana$139$127$84$2184
Texas$136$133$82$24934
Hawaii$129$147$90$1503
Tennessee$127$130$88$14910
North Carolina$121$111$72$21024
Alabama$116$116$110$1232
Minnesota$114$112$85$18024
Idaho$109$109$109$1091
Iowa$107$89$57$2136
Utah$107$107$107$1071
Montana$106$106$106$1061
Kansas$103$84$84$31513
Louisiana$100$82$82$1518
North Dakota$97$104$80$1045
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