Rates› Indiana› D4264

Bone Replacement Graft — Each Additional Site (D4264) in Indiana

Negotiated reimbursement rates for D4264 from CMS Transparency in Coverage data. Based on 12 rate records from 12 providers in Indiana.

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Average Negotiated Rate in Indiana
$126
12 rate records · 12 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4264 in Indiana. 9 provider records.

Provider City Rate Percentile
General DentistEvansville$10592nd
General DentistGreenwood$10592nd
Oral SurgeonEvansville$10592nd
General DentistLogansport$10592nd
General DentistBicknell$10592nd
General DentistEvansville$10592nd
General DentistGreenwood$10592nd
General DentistEvansville$10592nd
General DentistTopeka$7817th

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What is D4264?

Bone Replacement Graft — Each Additional Site (CDT Code D4264) — These rates represent negotiated amounts between dental insurance payors and providers in Indiana as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4264

North Dakota
$334
6 records
Nevada
$326
14 records
Colorado
$326
20 records

42+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$105
Low
$78
High
$417
25th Percentile
$105
75th Percentile
$105
Data Points
12

Compare D4264 Rates Across All 45 States

North Dakota
$334
Nevada
$326
Colorado
$326
Connecticut
$273
South Carolina
$256
Rhode Island
$254
New York
$237
District of Columbia
$235
Washington
$220
Maine
$215
Utah
$209
Hawaii
$197
Michigan
$192
Georgia
$185
Ohio
$182
Oregon
$175
Florida
$174
Arizona
$173
California
$166
Iowa
$160
Nebraska
$159
Minnesota
$159
Texas
$157
Kentucky
$150
Wisconsin
$144
West Virginia
$138
New Hampshire
$134
New Jersey
$132
Massachusetts
$132
Pennsylvania
$130
Virginia
$127
Indiana
$126
Illinois
$120
Idaho
$119
Missouri
$114
New Mexico
$111
North Carolina
$96
Kansas
$95
Delaware
$95
Maryland
$92
Louisiana
$83
Oklahoma
$82
Tennessee
$72
Wyoming
$64
Alabama
$50
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