Negotiated reimbursement rates for D6094 across 6 states, sourced from CMS Transparency in Coverage data. 44 rate records.
D6094 pertains to the placement of a custom titanium or titanium alloy implant abutment. This procedure is indicated when a patient requires a specific abutment design to support a dental prosthesis. Proper documentation must include the rationale for using a custom abutment, the patient's clinical condition, and any relevant imaging or diagnostic information. Reimbursement for D6094 can vary widely depending on the insurance plan and state regulations, with an average reimbursement of approximately $850. Some payors may have specific guidelines regarding the use of custom abutments, which can affect coverage and reimbursement rates. Therefore, dental billing professionals should carefully review payor policies to ensure compliance and optimize claims processing.
Reimbursement rates for D6094 vary significantly by state, payor, and provider network. The national average negotiated rate is $850. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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