Rates› D6104

Bone Graft — Implant Repair (Each Add'l Site) (D6104) — National Rates

Negotiated reimbursement rates for D6104 across 47 states, sourced from CMS Transparency in Coverage data. 557 rate records.

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National Average Negotiated Rate
$220
557 rate records · 47 states
📊 Data updated monthly · Last refresh: March 2026

About D6104 — Bone Graft — Implant Repair (Each Add'l Site)

CDT Code D6104 covers Bone Graft — Implant Repair (Each Add'l Site). The national average negotiated rate is $220. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D6104

Virginia
$469
11 records
New York
$453
40 records
Nevada
$425
12 records

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Full National Breakdown

Median
$172
Low
$66
High
$1,050

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Virginia$469
New York$453
Nevada$425
North Dakota$375
Utah$295

↓ Bottom 5

StateAvg Rate
Arkansas$88
Hawaii$87
Nebraska$81
Iowa$78
Kansas$74

All States — D6104 Average Rates

Virginia
$469
New York
$453
Nevada
$425
North Dakota
$375
Utah
$295
Alaska
$289
Connecticut
$274
New Jersey
$259
District of Columbia
$253
Washington
$246
Oregon
$242
Ohio
$232
Puerto Rico
$221
Indiana
$218
Minnesota
$212
South Carolina
$209
Delaware
$200
New Hampshire
$198
Arizona
$193
Florida
$190
Massachusetts
$189
Maryland
$189
Kentucky
$186
Louisiana
$185
California
$178
Michigan
$168
Rhode Island
$158
Pennsylvania
$153
New Mexico
$150
North Carolina
$147
Illinois
$139
Georgia
$137
Colorado
$132
Missouri
$132
Texas
$131
Maine
$124
Mississippi
$122
Idaho
$114
West Virginia
$112
Tennessee
$102
Oklahoma
$100
Alabama
$99
Arkansas
$88
Hawaii
$87
Nebraska
$81
Iowa
$78
Kansas
$74
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Virginia$469$530$146$66711
New York$453$455$93$1,05040
Nevada$425$432$118$84212
North Dakota$375$375$375$3754
Utah$295$286$174$4263
Alaska$289$289$289$2891
Connecticut$274$282$208$39410
New Jersey$259$212$154$39414
District of Columbia$253$253$183$3232
Washington$246$236$79$30737
Oregon$242$246$190$2894
Ohio$232$132$104$5216
Puerto Rico$221$221$221$2211
Indiana$218$192$139$3706
Minnesota$212$205$128$3124
South Carolina$209$93$66$65056
Delaware$200$200$200$2001
New Hampshire$198$231$66$2315
Arizona$193$169$93$41111
Florida$190$172$66$39430
Massachusetts$189$175$124$3076
Maryland$189$152$116$52110
Kentucky$186$192$93$21413
Louisiana$185$185$185$1852
California$178$171$94$27953
Michigan$168$130$125$2894
Rhode Island$158$175$125$1755
Pennsylvania$153$164$90$21512
New Mexico$150$130$130$2104
North Carolina$147$142$66$2347
Illinois$139$92$92$37010
Georgia$137$127$93$23020
Colorado$132$122$77$1867
Missouri$132$145$81$21116
Texas$131$125$66$23655
Maine$124$124$124$1245
Mississippi$122$122$111$1322
Idaho$114$114$77$1512
West Virginia$112$112$112$1123
Tennessee$102$95$93$1176
Oklahoma$100$109$81$1093
Alabama$99$99$99$996
Arkansas$88$88$79$982
Hawaii$87$87$87$871
Nebraska$81$78$78$967
Iowa$78$78$78$782
Kansas$74$72$72$889
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