Negotiated reimbursement rates for D6240 across 48 states, sourced from CMS Transparency in Coverage data. 704 rate records.
D6240 refers to a bridge pontic that is porcelain fused to high noble metal, combining the strength of metal with the aesthetic appeal of porcelain. This procedure is indicated for patients seeking a natural appearance in their dental restorations, particularly in visible areas. Documentation should include clinical notes emphasizing the need for both durability and aesthetics, as well as any relevant imaging. Reimbursement for D6240 averages around $775, but it can vary by payor and state, with some insurance plans offering better coverage for high noble materials. Dental billing professionals should ensure they understand the specific reimbursement policies of each payor to maximize claims success.
Reimbursement rates for D6240 vary significantly by state, payor, and provider network. The national average negotiated rate is $775. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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