Negotiated reimbursement rates for D6545 across 49 states, sourced from CMS Transparency in Coverage data. 545 rate records.
D6545 refers to a Cast Metal Retainer for a Resin-Bonded Bridge. This procedure involves the use of a cast metal framework to support a resin-bonded bridge, providing stability and strength. Clinical indications include the need for a durable retainer in cases where a fixed bridge is indicated. Proper documentation should include treatment notes, radiographs, and a detailed explanation of the clinical necessity for the cast metal retainer. Average reimbursement for this procedure is around $329, but it can vary by payor and state. Some insurance plans may have specific requirements regarding the materials used, which can affect coverage. It is important to check with the payor for their specific policies on this procedure.
Reimbursement rates for D6545 vary significantly by state, payor, and provider network. The national average negotiated rate is $329. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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