Provisional Bridge Pontic (D6253) — National Rates

Negotiated reimbursement rates for D6253 across 46 states, sourced from CMS Transparency in Coverage data. 1246 rate records.

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National Average Negotiated Rate
$228
1246 rate records · 46 states
📊 Data updated monthly · Last refresh: March 2026

About D6253 — Provisional Bridge Pontic

CDT Code D6253 covers Provisional Bridge Pontic. The national average negotiated rate is $228. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D6253

Minnesota
$420
4 records
Washington
$403
12 records
Alaska
$349
3 records

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Full National Breakdown

Median
$230
Low
$20
High
$945

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Minnesota$420
Washington$403
Alaska$349
Oregon$339
Arizona$330

↓ Bottom 5

StateAvg Rate
Idaho$185
Nebraska$178
Iowa$170
Kansas$170
Wyoming$152

All States — D6253 Average Rates

Minnesota
$420
Washington
$403
Alaska
$349
Oregon
$339
Arizona
$330
Wisconsin
$329
Maine
$329
Oklahoma
$326
West Virginia
$326
Virginia
$320
Florida
$315
Delaware
$315
South Carolina
$303
Hawaii
$292
Tennessee
$284
Utah
$284
Georgia
$284
California
$277
Michigan
$273
Mississippi
$270
Colorado
$269
Texas
$265
South Dakota
$262
Pennsylvania
$261
Nevada
$258
Louisiana
$258
District of Columbia
$249
Kentucky
$245
New Mexico
$241
Massachusetts
$238
North Carolina
$238
Illinois
$236
New Hampshire
$226
Connecticut
$220
New Jersey
$219
North Dakota
$216
New York
$213
Ohio
$213
Indiana
$206
Missouri
$205
Maryland
$199
Idaho
$185
Nebraska
$178
Iowa
$170
Kansas
$170
Wyoming
$152
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Minnesota$420$420$420$4204
Washington$403$428$267$45612
Alaska$349$360$259$4283
Oregon$339$370$193$4285
Arizona$330$348$131$37040
Wisconsin$329$323$323$35716
Maine$329$313$243$40112
Oklahoma$326$326$326$3261
West Virginia$326$326$316$3362
Virginia$320$349$192$39237
Florida$315$362$157$39247
Delaware$315$315$315$3151
South Carolina$303$272$170$45514
Hawaii$292$305$267$3053
Tennessee$284$267$267$39214
Utah$284$284$284$2842
Georgia$284$288$220$34116
California$277$282$150$48669
Michigan$273$301$177$42810
Mississippi$270$270$270$2701
Colorado$269$278$177$32410
Texas$265$268$198$34818
South Dakota$262$262$262$2621
Pennsylvania$261$272$178$3158
Nevada$258$207$97$51017
Louisiana$258$277$185$2778
District of Columbia$249$194$160$3923
Kentucky$245$234$234$2673
New Mexico$241$252$220$2747
Massachusetts$238$220$95$39219
North Carolina$238$199$192$37019
Illinois$236$204$192$35710
New Hampshire$226$212$95$3824
Connecticut$220$220$157$2865
New Jersey$219$196$157$40150
North Dakota$216$212$173$2664
New York$213$157$121$94541
Ohio$213$217$157$2348
Indiana$206$193$193$26917
Missouri$205$169$169$39216
Maryland$199$188$160$39227
Idaho$185$186$177$20810
Nebraska$178$170$170$25410
Iowa$170$170$170$1702
Kansas$170$170$170$1701
Wyoming$152$152$152$1521
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