Negotiated reimbursement rates for D6245 across 47 states, sourced from CMS Transparency in Coverage data. 1153 rate records.
D6245 refers to a bridge pontic made of porcelain or ceramic. This procedure is indicated for patients seeking a highly aesthetic solution for missing teeth, particularly in visible areas. Documentation should include details about the tooth being replaced, the materials used, and any relevant clinical findings. Reimbursement for D6245 is often lower than for other pontic types, with some payors offering minimal coverage, which can lead to out-of-pocket costs for patients. The average reimbursement for this code is notably low, around $2, reflecting the variability in coverage and the potential for limited acceptance by insurance plans.
Reimbursement rates for D6245 vary significantly by state, payor, and provider network. The national average negotiated rate is $2. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
44+ more states available with Pro ↓