Bridge Retainer — Onlay, Cast Base Metal (2 Surf) (D6612) — National Rates

Negotiated reimbursement rates for D6612 across 51 states, sourced from CMS Transparency in Coverage data. 740 rate records.

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National Average Negotiated Rate
$581
740 rate records · 51 states
📊 Data updated monthly · Last refresh: March 2026

About D6612 — Bridge Retainer — Onlay, Cast Base Metal (2 Surf)

CDT Code D6612 covers Bridge Retainer — Onlay, Cast Base Metal (2 Surf). The national average negotiated rate is $581. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D6612

Maine
$946
3 records
Washington
$918
17 records
Oregon
$851
11 records

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Full National Breakdown

Median
$549
Low
$83
High
$1,242

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$946
Washington$918
Oregon$851
Alaska$805
District of Columbia$785

↓ Bottom 5

StateAvg Rate
Rhode Island$411
Montana$392
Nebraska$365
Iowa$306
South Dakota$213

All States — D6612 Average Rates

Maine
$946
Washington
$918
Oregon
$851
Alaska
$805
District of Columbia
$785
Massachusetts
$741
Connecticut
$726
Georgia
$693
Indiana
$692
Delaware
$660
Colorado
$655
Mississippi
$646
California
$644
New Hampshire
$633
Florida
$627
Kentucky
$624
South Carolina
$623
Wisconsin
$614
Virginia
$613
Arizona
$612
New Jersey
$589
New York
$584
Hawaii
$576
Michigan
$574
New Mexico
$572
Missouri
$566
Maryland
$553
Oklahoma
$550
North Carolina
$549
Ohio
$549
Pennsylvania
$536
Texas
$534
Alabama
$534
Utah
$526
Illinois
$516
Vermont
$509
Louisiana
$509
Kansas
$506
Nevada
$494
Wyoming
$490
North Dakota
$478
Tennessee
$455
Arkansas
$436
Idaho
$432
Minnesota
$424
West Virginia
$416
Rhode Island
$411
Montana
$392
Nebraska
$365
Iowa
$306
South Dakota
$213
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$946$1,000$788$1,0503
Washington$918$1,077$405$1,24217
Oregon$851$887$662$1,16811
Alaska$805$737$589$1,1685
District of Columbia$785$761$631$9643
Massachusetts$741$773$411$9966
Connecticut$726$732$616$8254
Georgia$693$721$549$79529
Indiana$692$705$665$7073
Delaware$660$676$485$8183
Colorado$655$705$403$79114
Mississippi$646$646$646$6461
California$644$682$213$90865
New Hampshire$633$391$391$9965
Florida$627$642$348$85336
Kentucky$624$651$255$66326
South Carolina$623$549$345$99819
Wisconsin$614$726$255$8125
Virginia$613$606$432$96419
Arizona$612$587$405$99615
New Jersey$589$518$327$1,05023
New York$584$538$327$1,00026
Hawaii$576$562$454$7116
Michigan$574$533$403$1,16813
New Mexico$572$559$559$59824
Missouri$566$615$213$70213
Maryland$553$496$436$75936
Oklahoma$550$620$410$6203
North Carolina$549$549$270$72851
Ohio$549$545$213$79810
Pennsylvania$536$496$431$73013
Texas$534$544$213$78322
Alabama$534$534$467$67210
Utah$526$522$434$6254
Illinois$516$520$213$7837
Vermont$509$509$391$6272
Louisiana$509$508$381$75512
Kansas$506$540$213$6606
Nevada$494$470$470$80077
Wyoming$490$490$346$6352
North Dakota$478$385$348$7035
Tennessee$455$438$340$5916
Arkansas$436$377$377$5919
Idaho$432$424$213$59415
Minnesota$424$405$255$83825
West Virginia$416$416$416$4161
Rhode Island$411$411$411$4111
Montana$392$392$392$3921
Nebraska$365$441$213$4413
Iowa$306$213$213$66011
South Dakota$213$213$213$2131
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