Negotiated reimbursement rates for D6794 across 8 states, sourced from CMS Transparency in Coverage data. 681 rate records.
D6794 refers to a bridge retainer made of titanium. This procedure is designed for patients who require a fixed dental bridge and prefer titanium for its biocompatibility and strength. Clinical indications include patients with missing teeth who may have sensitivities to other metals or those who seek a lightweight option. Documentation for billing should include the patient's dental records, treatment plan, and any relevant medical history. The average reimbursement for D6794 is approximately $739, which may be higher than other materials due to titanium's advantages. However, reimbursement can vary widely depending on the payor and state regulations. Some insurance plans may have specific criteria for covering titanium retainers, so it is essential for dental billing professionals to verify coverage details with each payor to ensure accurate billing.
Reimbursement rates for D6794 vary significantly by state, payor, and provider network. The national average negotiated rate is $739. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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