Bridge Retainer — Onlay, Cast Noble Metal (3+ Surf) (D6615) — National Rates

Negotiated reimbursement rates for D6615 across 49 states, sourced from CMS Transparency in Coverage data. 564 rate records.

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National Average Negotiated Rate
$678
564 rate records · 49 states
📊 Data updated monthly · Last refresh: March 2026

About D6615 — Bridge Retainer — Onlay, Cast Noble Metal (3+ Surf)

D6615 refers to a bridge retainer that is an onlay made from cast noble metal with three or more surfaces. This procedure is indicated for teeth that require extensive restoration due to decay or damage but can still support a bridge. Proper documentation is essential, including clinical notes, radiographs, and a treatment plan. Average reimbursement for D6615 is approximately $678, but this can vary widely between payors and states. Some insurance companies may have specific guidelines regarding the use of noble metals, so it is important to confirm coverage details prior to the procedure.

Reimbursement rates for D6615 vary significantly by state, payor, and provider network. The national average negotiated rate is $678. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D6615

Maine
$1,084
3 records
Delaware
$912
1 records
Alaska
$895
2 records

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Full National Breakdown

Median
$674
Low
$83
High
$1,208

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$1,084
Delaware$912
Alaska$895
District of Columbia$878
Oregon$861

↓ Bottom 5

StateAvg Rate
Kansas$446
Arkansas$437
Hawaii$437
Vermont$436
Oklahoma$431

All States — D6615 Average Rates

Maine
$1,084
Delaware
$912
Alaska
$895
District of Columbia
$878
Oregon
$861
Florida
$829
Connecticut
$818
Wisconsin
$810
Colorado
$787
Massachusetts
$763
Washington
$760
South Carolina
$742
California
$735
Alabama
$731
Kentucky
$723
Texas
$713
South Dakota
$708
Georgia
$705
Arizona
$705
Pennsylvania
$698
Ohio
$695
New Mexico
$677
New Hampshire
$674
Mississippi
$665
Maryland
$665
Indiana
$652
New York
$640
Wyoming
$632
New Jersey
$627
Nevada
$626
Iowa
$613
North Carolina
$610
Missouri
$589
Minnesota
$574
Michigan
$562
Virginia
$560
Illinois
$558
Louisiana
$544
Tennessee
$539
Utah
$527
Idaho
$524
West Virginia
$492
Nebraska
$461
North Dakota
$453
Kansas
$446
Arkansas
$437
Hawaii
$437
Vermont
$436
Oklahoma
$431
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$1,084$1,150$893$1,2083
Delaware$912$912$912$9121
Alaska$895$895$821$9692
District of Columbia$878$878$703$1,0542
Oregon$861$861$861$8611
Florida$829$849$365$1,00353
Connecticut$818$794$747$9205
Wisconsin$810$801$743$8934
Colorado$787$798$602$9609
Massachusetts$763$798$544$1,0309
Washington$760$846$449$1,01613
South Carolina$742$727$360$1,00019
California$735$786$236$1,01176
Alabama$731$733$727$7333
Kentucky$723$758$536$75810
Texas$713$808$385$95037
South Dakota$708$708$708$7083
Georgia$705$691$650$80911
Arizona$705$669$437$1,0309
Pennsylvania$698$707$480$9608
Ohio$695$617$569$93411
New Mexico$677$634$634$79819
New Hampshire$674$436$436$1,0305
Mississippi$665$663$606$7274
Maryland$665$703$437$90016
Indiana$652$675$518$7585
New York$640$720$236$1,03620
Wyoming$632$632$632$6321
New Jersey$627$577$365$86219
Nevada$626$544$539$84717
Iowa$613$618$370$8523
North Carolina$610$611$365$95017
Missouri$589$569$446$7826
Minnesota$574$435$284$90019
Michigan$562$543$475$72723
Virginia$560$528$482$72114
Illinois$558$534$515$79620
Louisiana$544$571$403$6324
Tennessee$539$546$365$9008
Utah$527$545$440$6977
Idaho$524$561$437$6627
West Virginia$492$492$492$4923
Nebraska$461$461$461$4611
North Dakota$453$408$365$6334
Kansas$446$446$446$4465
Arkansas$437$385$385$6069
Hawaii$437$437$437$4371
Vermont$436$436$436$4361
Oklahoma$431$431$431$4311
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