Negotiated reimbursement rates for D6612 across 51 states, sourced from CMS Transparency in Coverage data. 740 rate records.
D6612 describes a bridge retainer procedure involving an onlay made of cast base metal with two surfaces. This procedure is typically indicated for patients who require a cost-effective solution for tooth restoration. Proper documentation should include the clinical justification for using base metal, details of the tooth preparation, and any relevant diagnostic imaging. Reimbursement for D6612 can vary significantly by payor and state, with an average reimbursement of approximately $581. Some insurance plans may have specific guidelines regarding coverage for base metal restorations, impacting the billing process.
Reimbursement rates for D6612 vary significantly by state, payor, and provider network. The national average negotiated rate is $581. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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