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)

D6104 refers to the procedure of bone grafting for implant repair at each additional site. This procedure is typically indicated when there is insufficient bone volume to support an implant, often due to resorption or previous extractions. Documentation should include pre-operative imaging, surgical notes detailing the grafting technique used, and post-operative assessments. Billing for this procedure can vary significantly by payor and state, with some insurance plans covering a portion of the costs while others may consider it a cosmetic procedure. On average, reimbursement for D6104 is around $220, but dental billing professionals should verify coverage specifics with individual payors to ensure proper reimbursement.

Reimbursement rates for D6104 vary significantly by state, payor, and provider network. The national average negotiated rate is $220. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

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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