Rates› D4286

Combined Connective Tissue Graft (Each Add'l Tooth) (D4286) — National Rates

Negotiated reimbursement rates for D4286 across 49 states, sourced from CMS Transparency in Coverage data. 485 rate records.

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National Average Negotiated Rate
$328
485 rate records · 49 states
📊 Data updated monthly · Last refresh: March 2026

About D4286 — Combined Connective Tissue Graft (Each Add'l Tooth)

CDT Code D4286 covers Combined Connective Tissue Graft (Each Add'l Tooth). The national average negotiated rate is $328. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4286

Maine
$602
5 records
Oregon
$492
4 records
New Hampshire
$475
9 records

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Full National Breakdown

Median
$315
Low
$5
High
$683

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$602
Oregon$492
New Hampshire$475
Missouri$433
Minnesota$432

↓ Bottom 5

StateAvg Rate
North Carolina$210
Nebraska$209
Arkansas$187
Montana$177
Vermont$176

All States — D4286 Average Rates

Maine
$602
Oregon
$492
New Hampshire
$475
Missouri
$433
Minnesota
$432
Connecticut
$389
New York
$381
Massachusetts
$379
Georgia
$373
California
$364
Washington
$361
Kentucky
$351
Colorado
$342
Arizona
$338
Michigan
$338
New Jersey
$336
Pennsylvania
$334
Ohio
$329
Florida
$319
Wyoming
$318
Iowa
$314
Texas
$311
Kansas
$311
Delaware
$310
Virginia
$309
Maryland
$293
Alabama
$292
Illinois
$292
Hawaii
$289
New Mexico
$288
Utah
$273
Louisiana
$272
District of Columbia
$270
Alaska
$265
Tennessee
$264
Nevada
$264
Oklahoma
$264
West Virginia
$262
Mississippi
$257
Idaho
$247
Indiana
$238
North Dakota
$231
Wisconsin
$221
South Carolina
$219
North Carolina
$210
Nebraska
$209
Arkansas
$187
Montana
$177
Vermont
$176
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$602$578$550$6835
Oregon$492$492$443$5404
New Hampshire$475$458$458$6149
Missouri$433$370$220$59327
Minnesota$432$455$200$63210
Connecticut$389$434$226$45111
New York$381$352$176$65015
Massachusetts$379$458$173$4587
Georgia$373$376$286$45531
California$364$344$156$58158
Washington$361$419$164$4628
Kentucky$351$342$203$5008
Colorado$342$302$177$43617
Arizona$338$352$244$4044
Michigan$338$325$272$4163
New Jersey$336$362$156$42918
Pennsylvania$334$322$176$5208
Ohio$329$232$176$5569
Florida$319$288$185$38630
Wyoming$318$318$318$3181
Iowa$314$314$212$4162
Texas$311$314$168$52520
Kansas$311$220$173$59310
Delaware$310$310$230$3902
Virginia$309$315$195$36031
Maryland$293$287$183$45813
Alabama$292$292$292$2921
Illinois$292$308$216$3436
Hawaii$289$302$240$3155
New Mexico$288$288$275$3026
Utah$273$273$273$2731
Louisiana$272$248$248$34710
District of Columbia$270$270$270$2701
Alaska$265$265$265$2651
Tennessee$264$279$181$27911
Nevada$264$264$264$2644
Oklahoma$264$281$205$2894
West Virginia$262$262$262$2621
Mississippi$257$257$257$2571
Idaho$247$227$227$2985
Indiana$238$238$191$2852
North Dakota$231$173$156$4805
Wisconsin$221$221$221$2211
South Carolina$219$209$5$41317
North Carolina$210$204$175$25316
Nebraska$209$212$173$22012
Arkansas$187$187$164$2102
Montana$177$177$177$1771
Vermont$176$176$176$1765
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