Negotiated reimbursement rates for D6241 across 48 states, sourced from CMS Transparency in Coverage data. 573 rate records.
D6241 refers to a bridge pontic made of porcelain fused to base metal. This procedure is typically indicated for patients who have lost a tooth and require a fixed prosthetic solution to restore function and aesthetics. Clinical documentation should include details about the tooth being replaced, the materials used, and any relevant diagnostic imaging. When billing for this procedure, it's important to note that reimbursement can vary significantly based on the payor and state, with some insurance plans covering a portion of the cost while others may have restrictions on the materials used. The average reimbursement for this code is around $734, but actual payment may differ based on the patient's specific plan and the dentist's contractual agreements with the insurance company.
Reimbursement rates for D6241 vary significantly by state, payor, and provider network. The national average negotiated rate is $734. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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