Negotiated reimbursement rates for D6549 across 47 states, sourced from CMS Transparency in Coverage data. 500 rate records.
D6549 describes a resin retainer used for a resin-bonded bridge. This procedure is clinically indicated for patients needing a conservative approach to tooth replacement, particularly when adjacent teeth are intact and can support the bridge. Proper documentation should include the rationale for using a resin retainer, details of the teeth involved, and any supporting diagnostic images. Reimbursement rates for this code typically average $292, but they can differ based on the patient's insurance plan and state regulations. Some payors may have specific criteria for coverage, so it is essential for billing professionals to check the patient's benefits prior to submitting claims.
Reimbursement rates for D6549 vary significantly by state, payor, and provider network. The national average negotiated rate is $292. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
44+ more states available with Pro ↓