Negotiated reimbursement rates for D6069 across 48 states, sourced from CMS Transparency in Coverage data. 725 rate records.
D6069 refers to an implant crown made of titanium. This procedure is indicated for patients who require a strong and biocompatible restoration following the placement of a dental implant. When billing for this procedure, it is essential to document the clinical rationale for using titanium, the patient's treatment history, and any relevant imaging or diagnostic information. Reimbursement for D6069 can vary significantly based on the payor and state regulations, with some insurance plans providing full or partial coverage while others may classify it differently, affecting the patient's financial responsibility.
Reimbursement rates for D6069 vary significantly by state, payor, and provider network. The national average negotiated rate is $980. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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