Negotiated reimbursement rates for D6791 across 48 states, sourced from CMS Transparency in Coverage data. 545 rate records.
D6791 refers to a bridge retainer made of full cast base metal. This procedure involves creating a durable and strong retainer that supports a dental bridge, which is used to replace missing teeth. Clinical indications for this procedure typically include patients who have lost one or more teeth and require a fixed prosthesis for functional and aesthetic purposes. Documentation for billing should include the patient's dental history, radiographs, and a treatment plan that justifies the need for the bridge. Reimbursement for D6791 can vary significantly by payor and state, with average payments around $680. Some insurance plans may cover a portion of the cost, while others may have limitations or exclusions for certain materials used in the retainer. It's essential to verify coverage with individual payors to ensure proper billing and reimbursement.
Reimbursement rates for D6791 vary significantly by state, payor, and provider network. The national average negotiated rate is $680. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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