Negotiated reimbursement rates for D6120 across 48 states, sourced from CMS Transparency in Coverage data. 708 rate records.
D6120 refers to an implant-supported retainer for a fixed partial denture (FPD) made from high noble materials. This procedure is indicated for patients requiring a robust and aesthetically pleasing solution for tooth replacement. Documentation must include details about the high noble materials used, the number of implants placed, and any relevant clinical findings. Reimbursement for D6120 is generally higher than for other retainer types due to the material costs and the complexity of the procedure. However, reimbursement can vary widely by payor and state, making it essential to check individual insurance policies for specific coverage details.
Reimbursement rates for D6120 vary significantly by state, payor, and provider network. The national average negotiated rate is $883. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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