Negotiated reimbursement rates for D6252 across 47 states, sourced from CMS Transparency in Coverage data. 730 rate records.
D6252 describes a Bridge Pontic constructed from resin with noble metal. This procedure is similar to D6251 but utilizes noble metals, which may offer enhanced durability and biocompatibility. Clinical indications include cases where aesthetics and longevity are prioritized, particularly in anterior regions. Documentation should include a comprehensive treatment plan, patient consent, and any relevant diagnostic imaging. Reimbursement for D6252 averages around $657, but varies by payor and state regulations. Some insurance companies may have specific criteria regarding the use of noble metals, which can influence coverage and reimbursement rates. It's crucial to check with individual payors for their specific policies regarding this procedure.
Reimbursement rates for D6252 vary significantly by state, payor, and provider network. The national average negotiated rate is $657. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
44+ more states available with Pro ↓