Negotiated reimbursement rates for D6115 across 17 states, sourced from CMS Transparency in Coverage data. 105 rate records.
D6115 is the code for an implant bridge retainer made of cast metal, specifically for base metal (BM) materials. This procedure is indicated for patients needing a cost-effective yet durable solution for their implant-supported bridge. Documentation should include treatment notes, the rationale for selecting base metal, and any necessary imaging or diagnostic information. Reimbursement for D6115 can vary by payor and state, as some insurance plans may have specific guidelines regarding the use of base metal materials. The average reimbursement for this procedure is around $3, but it is crucial for dental billing professionals to verify coverage details with each payor to ensure compliance and to avoid claim denials.
Reimbursement rates for D6115 vary significantly by state, payor, and provider network. The national average negotiated rate is $3. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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