Negotiated reimbursement rates for D6196 across 20 states, sourced from CMS Transparency in Coverage data. 87 rate records.
D6196 refers to the procedure for an Implant Provisional Crown during an implant placement visit. This temporary crown is used to restore aesthetics and function while the final restoration is being fabricated. Clinical indications include the need for immediate esthetic restoration after implant placement. Documentation should include details of the implant placement, the reason for provisionalization, and any relevant clinical notes. Reimbursement for this code can vary significantly by payor and state, with some insurers covering the procedure under specific circumstances, while others may have restrictions or require prior authorization. The average reimbursement for this code is around $86.
Reimbursement rates for D6196 vary significantly by state, payor, and provider network. The national average negotiated rate is $86. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
17+ more states available with Pro ↓