Bridge Retainer — Onlay, Cast Noble Metal (2 Surf) (D6614) — National Rates

Negotiated reimbursement rates for D6614 across 49 states, sourced from CMS Transparency in Coverage data. 658 rate records.

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National Average Negotiated Rate
$604
658 rate records · 49 states
📊 Data updated monthly · Last refresh: March 2026

About D6614 — Bridge Retainer — Onlay, Cast Noble Metal (2 Surf)

D6614 describes a bridge retainer that is an onlay made from cast noble metal, typically used for similar clinical indications as D6613, including extensive tooth decay or structural compromise. This procedure involves creating a custom onlay that fits over the prepared tooth to provide support for a dental bridge. Documentation must include clinical notes, radiographs, and a justification for the use of noble metal. Average reimbursement for D6614 is around $604, but this can vary by payor and state. Some insurance plans may have restrictions on the materials used, so it is crucial to check the patient's coverage details before treatment.

Reimbursement rates for D6614 vary significantly by state, payor, and provider network. The national average negotiated rate is $604. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D6614

Maine
$850
9 records
New Hampshire
$802
12 records
Washington
$789
9 records

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Full National Breakdown

Median
$615
Low
$83
High
$1,224

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$850
New Hampshire$802
Washington$789
Delaware$754
Puerto Rico$747

↓ Bottom 5

StateAvg Rate
North Dakota$460
Tennessee$418
Montana$396
Nebraska$370
Iowa$263

All States — D6614 Average Rates

Maine
$850
New Hampshire
$802
Washington
$789
Delaware
$754
Puerto Rico
$747
Oregon
$742
Massachusetts
$700
Wisconsin
$691
Georgia
$675
Nevada
$670
Colorado
$662
South Carolina
$658
Rhode Island
$652
North Carolina
$650
California
$649
Virginia
$646
Florida
$639
Arizona
$634
Alabama
$634
Pennsylvania
$634
Kentucky
$628
Maryland
$626
District of Columbia
$619
Texas
$615
Connecticut
$602
New Jersey
$601
Mississippi
$601
Michigan
$597
New York
$595
New Mexico
$586
Kansas
$576
Oklahoma
$575
Alaska
$566
Hawaii
$556
Illinois
$548
Louisiana
$538
Ohio
$530
West Virginia
$524
Indiana
$517
Minnesota
$517
Missouri
$510
Utah
$509
Arkansas
$471
Idaho
$470
North Dakota
$460
Tennessee
$418
Montana
$396
Nebraska
$370
Iowa
$263
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$850$820$489$1,1009
New Hampshire$802$709$709$1,15512
Washington$789$658$414$1,2249
Delaware$754$754$682$8262
Puerto Rico$747$747$747$7471
Oregon$742$742$629$8542
Massachusetts$700$709$213$92115
Wisconsin$691$710$405$79610
Georgia$675$705$395$82033
Nevada$670$704$505$8008
Colorado$662$660$396$79821
South Carolina$658$658$345$95016
Rhode Island$652$652$652$6523
North Carolina$650$642$520$74816
California$649$650$213$91678
Virginia$646$660$436$97230
Florida$639$603$340$86725
Arizona$634$574$494$81811
Alabama$634$624$606$6834
Pennsylvania$634$663$435$76717
Kentucky$628$656$485$7249
Maryland$626$637$440$82012
District of Columbia$619$678$500$6783
Texas$615$693$213$80018
Connecticut$602$620$470$6974
New Jersey$601$559$395$80122
Mississippi$601$601$549$6532
Michigan$597$600$523$6674
New York$595$563$327$87827
New Mexico$586$574$574$78024
Kansas$576$540$213$1,1558
Oklahoma$575$620$410$7095
Alaska$566$566$389$7442
Hawaii$556$556$454$6582
Illinois$548$492$213$81222
Louisiana$538$550$388$6426
Ohio$530$522$213$77812
West Virginia$524$510$439$6374
Indiana$517$470$470$79816
Minnesota$517$405$255$83830
Missouri$510$531$213$70837
Utah$509$530$416$5584
Arkansas$471$466$369$5783
Idaho$470$508$213$6319
North Dakota$460$395$349$5955
Tennessee$418$340$213$67811
Montana$396$396$396$3963
Nebraska$370$348$270$4415
Iowa$263$213$213$69312
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