Negotiated reimbursement rates for D6194 across 7 states, sourced from CMS Transparency in Coverage data. 62 rate records.
D6194 refers to the removal of a stress-breaking abutment. This procedure may be indicated due to complications, wear, or the need for replacement with a different abutment type. Documentation should detail the reasons for removal, any issues encountered during the procedure, and the patient's overall treatment plan. The average reimbursement for D6194 is approximately $843, but this can differ significantly based on the payor and state regulations. Some insurance companies may have specific criteria for coverage, making it essential for dental billing professionals to verify the patient's benefits and obtain any necessary pre-authorizations before proceeding.
Reimbursement rates for D6194 vary significantly by state, payor, and provider network. The national average negotiated rate is $843. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| Washington | $1,068 |
| Arizona | $972 |
| New York | $952 |
| Nevada | $929 |
| South Carolina | $855 |
| State | Avg Rate |
|---|---|
| New York | $952 |
| Nevada | $929 |
| South Carolina | $855 |
| California | $695 |
| Connecticut | $112 |