Rates› Illinois› D4277

Free Soft Tissue Graft (First Tooth) (D4277) in Illinois

Negotiated reimbursement rates for D4277 from CMS Transparency in Coverage data. Based on 20 rate records from 20 providers in Illinois.

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Average Negotiated Rate in Illinois
$564
20 rate records · 20 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4277 in Illinois. 17 provider records.

Provider City Rate Percentile
EndodontistChicago$800100th
General DentistPeoria$68995th
General DentistCrestwood$68995th
General DentistBelleville$66785th
General DentistNorth Riverside$61780th
General DentistChicago$56075th
General DentistNorth Chicago$56075th
General DentistFox Lake$56075th
General DentistChicago$56075th
General DentistSavanna$51555th
General DentistRochelle$51555th
General DentistYorkville$51555th
General DentistLockport$51555th
General DentistRochelle$51555th
General DentistPeoria$49725th
General DentistDecatur$49725th
General DentistChampaign$49725th

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What is D4277?

Free Soft Tissue Graft (First Tooth) (CDT Code D4277) — These rates represent negotiated amounts between dental insurance payors and providers in Illinois as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4277

Maine
$1,087
11 records
New York
$1,017
23 records
New Hampshire
$987
12 records

45+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$515
Low
$497
High
$800
25th Percentile
$510
75th Percentile
$574
Data Points
20

Compare D4277 Rates Across All 48 States

Maine
$1,087
New York
$1,017
New Hampshire
$987
District of Columbia
$940
California
$840
New Jersey
$831
Georgia
$825
Indiana
$793
Maryland
$793
Connecticut
$778
Pennsylvania
$777
Virginia
$753
Florida
$734
Oregon
$728
Massachusetts
$721
West Virginia
$704
Delaware
$691
Alaska
$689
Wisconsin
$683
South Dakota
$682
Texas
$670
Michigan
$667
Mississippi
$661
Ohio
$659
Washington
$658
South Carolina
$646
North Carolina
$630
Nevada
$615
North Dakota
$612
Colorado
$610
Missouri
$607
Arizona
$586
Oklahoma
$584
New Mexico
$581
Rhode Island
$578
Illinois
$564
Tennessee
$552
Minnesota
$540
Kentucky
$536
Iowa
$532
Hawaii
$516
Utah
$514
Louisiana
$514
Idaho
$496
Kansas
$473
Alabama
$471
Nebraska
$409
Wyoming
$372
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