Negotiated reimbursement rates for D6280 across 36 states, sourced from CMS Transparency in Coverage data. 302 rate records.
D6280 is the code for a Bridge Pontic made from a resin/acrylic denture tooth. This type of pontic is often used in removable partial dentures or as a temporary solution. Clinical indications include situations where a patient requires a less permanent option for tooth replacement. Documentation should include the treatment plan, patient history, and any relevant imaging. The average reimbursement for this procedure is approximately $107, but this can differ based on the payor and state regulations. Some insurance providers may have limitations on the types of materials covered, which can impact reimbursement. It is essential to verify the specifics of coverage with each payor.
Reimbursement rates for D6280 vary significantly by state, payor, and provider network. The national average negotiated rate is $107. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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