Negotiated reimbursement rates for D6191 across 49 states, sourced from CMS Transparency in Coverage data. 526 rate records.
D6191 refers to the placement of a semi-precision abutment, which is a component used in dental implant procedures to connect the implant to the prosthetic crown. Clinical indications for this procedure include cases where a precise fit is necessary to ensure the stability and function of the dental prosthesis. Proper documentation is essential, including detailed notes on the patient's condition, the rationale for using a semi-precision abutment, and any relevant imaging or diagnostic information. Reimbursement for D6191 can vary significantly by payor and state, with some insurance plans covering a larger portion of the cost than others. Average reimbursement is around $356, but dental billing professionals should verify coverage details with individual payors to ensure accurate billing and maximize reimbursement.
Reimbursement rates for D6191 vary significantly by state, payor, and provider network. The national average negotiated rate is $356. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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