Negotiated reimbursement rates for D6198 across 30 states, sourced from CMS Transparency in Coverage data. 771 rate records.
D6198 pertains to the removal of an interim implant body. This procedure is performed when the temporary implant body needs to be extracted, often due to complications or the transition to a permanent restoration. Clinical indications may include infection, failure of the interim implant, or the need for a different treatment approach. Documentation should include the rationale for removal, any complications encountered, and clinical observations. Reimbursement for this code varies by payor, with some insurers covering it under specific circumstances, while others may not. The average reimbursement for this procedure is around $53.
Reimbursement rates for D6198 vary significantly by state, payor, and provider network. The national average negotiated rate is $53. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| New York | $86 |
| Massachusetts | $70 |
| Washington | $70 |
| Georgia | $68 |
| District of Columbia | $67 |
| State | Avg Rate |
|---|---|
| Louisiana | $34 |
| Missouri | $32 |
| North Dakota | $31 |
| Nebraska | $29 |
| Kansas | $28 |