Negotiated reimbursement rates for D7956 across 49 states, sourced from CMS Transparency in Coverage data. 544 rate records.
Guided bone regeneration in an edentulous area is a procedure that uses barrier membranes to promote bone growth in areas where teeth are missing. This technique is essential for preparing sites for dental implants. Clinical indications include inadequate bone volume or density in the edentulous ridge. Documentation should include pre-surgical imaging, the type of membrane used, and post-operative care instructions. Reimbursement can vary by payor, with some insurance plans covering the procedure as part of implant therapy while others may classify it differently, affecting patient costs.
Reimbursement rates for D7956 vary significantly by state, payor, and provider network. The national average negotiated rate is $340. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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