Rates› D6243

Bridge Pontic — Porcelain Fused to Titanium (D6243) — National Rates

Negotiated reimbursement rates for D6243 across 48 states, sourced from CMS Transparency in Coverage data. 590 rate records.

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National Average Negotiated Rate
$698
590 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D6243 — Bridge Pontic — Porcelain Fused to Titanium

D6243 is the code for a bridge pontic made of porcelain fused to titanium. This procedure is indicated for patients who require a strong and biocompatible option for tooth replacement. Proper documentation should include the tooth number, material specifications, and clinical notes regarding the patient's dental history. Reimbursement for D6243 can vary significantly based on the insurance provider and state regulations, with some plans covering titanium restorations more favorably. The average reimbursement for this code is around $698, but actual payments may differ based on the specifics of the patient's insurance coverage.

Reimbursement rates for D6243 vary significantly by state, payor, and provider network. The national average negotiated rate is $698. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D6243

North Dakota
$1,002
2 records
New Hampshire
$960
4 records
Connecticut
$941
6 records

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Full National Breakdown

Median
$695
Low
$90
High
$1,253

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$1,002
New Hampshire$960
Connecticut$941
Maine$886
District of Columbia$873

↓ Bottom 5

StateAvg Rate
Montana$498
Wyoming$439
Iowa$411
Nebraska$332
South Dakota$332

All States — D6243 Average Rates

North Dakota
$1,002
New Hampshire
$960
Connecticut
$941
Maine
$886
District of Columbia
$873
Alaska
$860
Florida
$827
Delaware
$813
Massachusetts
$783
Nevada
$780
Washington
$760
Arizona
$758
Wisconsin
$747
New York
$733
New Jersey
$730
Hawaii
$730
Virginia
$727
California
$722
Georgia
$721
North Carolina
$715
New Mexico
$689
South Carolina
$677
Oklahoma
$672
Maryland
$672
Indiana
$663
Ohio
$663
Pennsylvania
$651
Michigan
$650
Texas
$649
Kentucky
$648
Mississippi
$646
Colorado
$642
Tennessee
$640
Utah
$634
West Virginia
$627
Kansas
$606
Alabama
$606
Minnesota
$603
Missouri
$585
Louisiana
$583
Illinois
$567
Idaho
$546
Rhode Island
$523
Montana
$498
Wyoming
$439
Iowa
$411
Nebraska
$332
South Dakota
$332
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$1,002$1,002$903$1,1022
New Hampshire$960$974$841$1,0534
Connecticut$941$960$801$1,0496
Maine$886$860$860$9507
District of Columbia$873$900$710$1,0005
Alaska$860$881$749$9075
Florida$827$817$605$92129
Delaware$813$813$648$9782
Massachusetts$783$850$523$8896
Nevada$780$735$518$1,02324
Washington$760$759$744$7826
Arizona$758$705$651$87616
Wisconsin$747$722$612$8807
New York$733$645$489$1,00741
New Jersey$730$641$580$1,25360
Hawaii$730$730$730$7304
Virginia$727$737$517$91216
California$722$706$332$96669
Georgia$721$723$663$82313
North Carolina$715$739$553$87011
New Mexico$689$709$489$8569
South Carolina$677$675$459$1,01113
Oklahoma$672$676$491$9236
Maryland$672$688$522$86022
Indiana$663$675$640$6753
Ohio$663$696$332$8126
Pennsylvania$651$612$515$8937
Michigan$650$646$489$7527
Texas$649$612$332$87629
Kentucky$648$640$404$84017
Mississippi$646$646$646$6461
Colorado$642$644$498$85910
Tennessee$640$612$492$8227
Utah$634$634$564$7052
West Virginia$627$627$627$6271
Kansas$606$489$332$9983
Alabama$606$589$510$7354
Minnesota$603$489$395$96426
Missouri$585$578$332$77528
Louisiana$583$592$446$7096
Illinois$567$556$332$85020
Idaho$546$538$332$7475
Rhode Island$523$523$523$5231
Montana$498$498$498$4983
Wyoming$439$439$439$4391
Iowa$411$332$332$8749
Nebraska$332$332$332$3321
South Dakota$332$332$332$3321
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