Negotiated reimbursement rates for D6057 across 49 states, sourced from CMS Transparency in Coverage data. 721 rate records.
D6057 is the code for a custom fabricated implant abutment, which is designed to fit a specific patient's anatomy and the particular implant system used. Clinical indications include complex cases where standard abutments do not provide adequate fit or aesthetics. Proper documentation should include detailed notes on the custom design process, materials used, and any laboratory invoices. Average reimbursement for D6057 is approximately $553, but this can vary widely depending on the insurance provider and the state regulations. Some payors may require pre-authorization for custom abutments, so it is advisable to check with the insurance company regarding their specific requirements.
Reimbursement rates for D6057 vary significantly by state, payor, and provider network. The national average negotiated rate is $553. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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