Negotiated reimbursement rates for D6609 across 50 states, sourced from CMS Transparency in Coverage data. 738 rate records.
D6609 describes a bridge retainer procedure using an onlay made of porcelain or ceramic with three or more surfaces. This procedure is indicated for more extensive restorations where additional surface area is needed for retention and support. Proper documentation should include the clinical justification for using a multi-surface onlay, the specifics of the tooth preparation, and any imaging that supports the treatment plan. Reimbursement for D6609 can vary widely among payors and states, with an average reimbursement of around $693. Some insurance plans may have specific limitations or require prior authorization, impacting the overall reimbursement process.
Reimbursement rates for D6609 vary significantly by state, payor, and provider network. The national average negotiated rate is $693. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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