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

Negotiated reimbursement rates for D6104 from CMS Transparency in Coverage data. Based on 53 rate records from 49 providers in California.

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Average Negotiated Rate in California
$178
53 rate records · 49 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D6104 in California. 47 provider records.

Provider City Rate Percentile
Oral & Maxillofacial Surgery (MD)Palo Alto$279100th
General DentistSan Jose$279100th
General DentistDaly City$24996th
General DentistPleasanton$23694th
General DentistCerritos$23694th
Pediatric DentistCovina$22791st
EndodontistFoothill Ranch$21087th
PeriodontistBeverly Hills$21087th
Oral SurgeonLos Angeles$21087th
Oral SurgeonHuntington Beach$21087th
PeriodontistHuntington Beach$21087th
General DentistLaguna Niguel$21087th
Oral & Maxillofacial RadiologyPacific Palisades$21087th
General DentistValencia$21087th
General DentistTustin$21087th
EndodontistBakersfield$21087th
Oral SurgeonLos Angeles$21087th
General DentistBakersfield$20362nd
General DentistSan Bruno$20160th
EndodontistSan Mateo$19858th

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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 California 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
$171
Low
$94
High
$279
25th Percentile
$136
75th Percentile
$210
Data Points
53

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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