Rates› Arizona› D6104

Bone Graft — Implant Repair (Each Add'l Site) (D6104) in Arizona

Negotiated reimbursement rates for D6104 from CMS Transparency in Coverage data. Based on 11 rate records from 11 providers in Arizona.

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Average Negotiated Rate in Arizona
$193
11 rate records · 11 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D6104 in Arizona. 10 provider records.

Provider City Rate Percentile
General DentistBullhead City$411100th
General DentistMesa$411100th
Oral SurgeonGilbert$23582nd
General DentistPhoenix$18073rd
General DentistLake Havasu City$16955th
General DentistTucson$12545th
Pediatric DentistTucson$10636th
Pediatric DentistTucson$10636th
General DentistScottsdale$10636th
General DentistGlendale$939th

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What is D6104?

Bone Graft — Implant Repair (Each Add'l Site) (CDT Code D6104) — These rates represent negotiated amounts between dental insurance payors and providers in Arizona as reported in CMS Transparency in Coverage machine-readable files.

Top States for D6104

Virginia
$469
11 records
New York
$453
40 records
Nevada
$425
12 records

44+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$169
Low
$93
High
$411
25th Percentile
$106
75th Percentile
$208
Data Points
11

Compare D6104 Rates Across All 47 States

Virginia
$469
New York
$453
Nevada
$425
North Dakota
$375
Utah
$295
Alaska
$289
Connecticut
$274
New Jersey
$259
District of Columbia
$253
Washington
$246
Oregon
$242
Ohio
$232
Puerto Rico
$221
Indiana
$218
Minnesota
$212
South Carolina
$209
Delaware
$200
New Hampshire
$198
Arizona
$193
Florida
$190
Massachusetts
$189
Maryland
$189
Kentucky
$186
Louisiana
$185
California
$178
Michigan
$168
Rhode Island
$158
Pennsylvania
$153
New Mexico
$150
North Carolina
$147
Illinois
$139
Georgia
$137
Colorado
$132
Missouri
$132
Texas
$131
Maine
$124
Mississippi
$122
Idaho
$114
West Virginia
$112
Tennessee
$102
Oklahoma
$100
Alabama
$99
Arkansas
$88
Hawaii
$87
Nebraska
$81
Iowa
$78
Kansas
$74
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