Negotiated reimbursement rates for D6790 across 46 states, sourced from CMS Transparency in Coverage data. 1159 rate records.
D6790 is the code for a full cast high noble metal bridge retainer. This procedure is indicated for patients requiring a strong and durable solution for tooth replacement, often in posterior areas where occlusal forces are greater. Clinical documentation must include the rationale for using high noble metal, the condition of the abutment teeth, and any relevant diagnostic information. The average reimbursement for D6790 is approximately $776, but this can vary widely among payors and states. High noble metals may be favored by some insurers for their longevity, potentially leading to higher reimbursement rates compared to other materials.
Reimbursement rates for D6790 vary significantly by state, payor, and provider network. The national average negotiated rate is $776. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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