Negotiated reimbursement rates for D6058 across 50 states, sourced from CMS Transparency in Coverage data. 674 rate records.
D6058 denotes an implant abutment that is prefabricated, but it is often listed with a nominal reimbursement of $1, indicating that it may not be covered by many insurance plans. This code is typically used for billing purposes when the abutment is included in the cost of the implant procedure itself. Clinical indications are similar to other abutments, where a prefabricated solution is suitable for straightforward cases. Documentation should clearly state the use of a prefabricated abutment and its integration into the overall treatment plan. Given the low average reimbursement, dental practices should confirm coverage with payors to avoid unexpected costs.
Reimbursement rates for D6058 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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