Negotiated reimbursement rates for D6604 across 48 states, sourced from CMS Transparency in Coverage data. 1213 rate records.
D6604 describes a bridge retainer made from a cast base metal inlay, specifically for two surfaces. This procedure is indicated for patients requiring a durable and cost-effective solution for tooth restoration. Proper documentation should include clinical notes, treatment rationale, and any relevant diagnostic imaging. Average reimbursement for this procedure is approximately $542, but it can vary widely based on the patient's insurance plan and state regulations. Some payors may have restrictions on the use of base metals, which can impact the reimbursement amount, making it essential for dental billing professionals to confirm coverage specifics prior to treatment.
Reimbursement rates for D6604 vary significantly by state, payor, and provider network. The national average negotiated rate is $542. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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