Bridge Pontic — Porcelain Fused to Noble Metal (D6242) — National Rates

Negotiated reimbursement rates for D6242 across 48 states, sourced from CMS Transparency in Coverage data. 709 rate records.

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National Average Negotiated Rate
$766
709 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D6242 — Bridge Pontic — Porcelain Fused to Noble Metal

D6242 describes a bridge pontic constructed from porcelain fused to noble metal. This procedure is indicated for patients needing a durable and aesthetic solution for missing teeth. Documentation should include the specific tooth number, the type of materials used, and any relevant clinical notes. Reimbursement for D6242 can vary widely among payors and states, with some insurance plans offering better coverage for noble metal restorations compared to base metal. The average reimbursement for this procedure is approximately $766, but actual payments may depend on the patient's insurance policy and any applicable deductibles or co-pays.

Reimbursement rates for D6242 vary significantly by state, payor, and provider network. The national average negotiated rate is $766. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D6242

New Hampshire
$1,079
4 records
Oregon
$953
6 records
Connecticut
$952
3 records

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Full National Breakdown

Median
$745
Low
$90
High
$1,600

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New Hampshire$1,079
Oregon$953
Connecticut$952
Delaware$934
District of Columbia$919

↓ Bottom 5

StateAvg Rate
Kansas$595
Nebraska$576
Arkansas$534
Montana$521
Iowa$500

All States — D6242 Average Rates

New Hampshire
$1,079
Oregon
$953
Connecticut
$952
Delaware
$934
District of Columbia
$919
Maine
$915
Alaska
$914
North Dakota
$884
Arizona
$876
Washington
$874
Massachusetts
$841
Nevada
$832
Florida
$823
New Jersey
$820
Virginia
$820
Wisconsin
$816
Louisiana
$796
South Dakota
$794
New York
$791
Ohio
$783
Texas
$782
California
$774
South Carolina
$770
Colorado
$768
Maryland
$768
Minnesota
$764
New Mexico
$762
North Carolina
$749
Georgia
$718
Kentucky
$715
Michigan
$715
Indiana
$708
West Virginia
$690
Tennessee
$679
Mississippi
$678
Pennsylvania
$678
Missouri
$669
Utah
$650
Illinois
$639
Alabama
$634
Idaho
$615
Rhode Island
$609
Oklahoma
$604
Kansas
$595
Nebraska
$576
Arkansas
$534
Montana
$521
Iowa
$500
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New Hampshire$1,079$1,092$1,040$1,0924
Oregon$953$1,035$789$1,0356
Connecticut$952$950$864$1,0433
Delaware$934$934$845$1,0232
District of Columbia$919$924$743$1,0854
Maine$915$914$858$99012
Alaska$914$914$783$1,0462
North Dakota$884$1,175$459$1,1757
Arizona$876$907$716$90721
Washington$874$907$762$9789
Massachusetts$841$891$547$93617
Nevada$832$806$710$98018
Florida$823$832$510$93770
New Jersey$820$898$459$95421
Virginia$820$854$540$1,0048
Wisconsin$816$755$729$9307
Louisiana$796$796$699$8942
South Dakota$794$794$794$7941
New York$791$736$520$1,60025
Ohio$783$833$638$90711
Texas$782$790$625$85831
California$774$766$459$1,01973
South Carolina$770$754$434$1,16318
Colorado$768$800$521$9096
Maryland$768$849$545$93612
Minnesota$764$865$417$1,00619
New Mexico$762$762$710$96521
North Carolina$749$773$426$91017
Georgia$718$725$520$1,006126
Kentucky$715$707$601$81315
Michigan$715$720$633$7854
Indiana$708$704$582$8088
West Virginia$690$690$690$6901
Tennessee$679$687$425$1,0067
Mississippi$678$678$678$6781
Pennsylvania$678$650$538$88514
Missouri$669$666$455$87118
Utah$650$626$595$7303
Illinois$639$599$350$91315
Alabama$634$634$541$7262
Idaho$615$629$535$7827
Rhode Island$609$609$547$6712
Oklahoma$604$604$543$6662
Kansas$595$455$455$1,0409
Nebraska$576$576$518$6352
Arkansas$534$534$468$5992
Montana$521$521$521$5213
Iowa$500$350$350$9295
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