Negotiated reimbursement rates for D6113 across 48 states, sourced from CMS Transparency in Coverage data. 696 rate records.
D6113 represents an implant bridge retainer made of cast metal, specifically for high-noble metal (HNM) materials. This procedure is indicated for patients who require a durable and strong retainer for their implant-supported bridge, particularly in areas with high functional demands. Proper documentation should include a detailed treatment plan, justification for the choice of high-noble metal, and any relevant clinical findings. Reimbursement for D6113 can vary by payor and state, as some insurance companies may have specific criteria for covering high-noble materials. The average reimbursement for this procedure is around $1, but it is essential for dental billing professionals to verify coverage details with each payor to avoid claim denials.
Reimbursement rates for D6113 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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