Rates› Minnesota› D4275

Non-Autogenous Connective Tissue Graft (First Tooth) (D4275) in Minnesota

Negotiated reimbursement rates for D4275 from CMS Transparency in Coverage data. Based on 15 rate records from 15 providers in Minnesota.

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Average Negotiated Rate in Minnesota
$368
15 rate records · 15 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4275 in Minnesota. 14 provider records.

Provider City Rate Percentile
Oral SurgeonMinneapolis$494100th
Dental LabMinneapolis$494100th
EndodontistRichfield$494100th
Oral SurgeonBurnsville$494100th
Oral SurgeonMonticello$39067th
General DentistMinnetonka$38460th
OrthodontistStillwater$36653rd
General DentistSt Louis Park$34347th
General DentistMinneapolis$33340th
General DentistMinneapolis$33340th
General DentistMinneapolis$26027th
General DentistOgema$25420th
General DentistDuluth$21713th
General DentistMenahga$1707th

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What is D4275?

Non-Autogenous Connective Tissue Graft (First Tooth) (CDT Code D4275) — These rates represent negotiated amounts between dental insurance payors and providers in Minnesota as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4275

Washington
$634
5 records
Nevada
$614
17 records
Oregon
$592
2 records

45+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$366
Low
$170
High
$494
25th Percentile
$296
75th Percentile
$494
Data Points
15

Compare D4275 Rates Across All 48 States

Washington
$634
Nevada
$614
Oregon
$592
Texas
$546
District of Columbia
$546
Florida
$543
New Hampshire
$524
North Dakota
$517
New York
$516
South Carolina
$509
Georgia
$483
Alabama
$483
Massachusetts
$481
Delaware
$478
Oklahoma
$476
Michigan
$470
Virginia
$436
California
$430
Maine
$424
Alaska
$406
Missouri
$406
Indiana
$398
Hawaii
$394
Arizona
$387
New Jersey
$375
West Virginia
$375
Kansas
$369
Connecticut
$368
Minnesota
$368
Pennsylvania
$346
Maryland
$345
Utah
$341
Ohio
$338
Nebraska
$325
New Mexico
$324
Colorado
$314
Mississippi
$300
Rhode Island
$295
Illinois
$284
Wisconsin
$283
Arkansas
$277
Louisiana
$273
North Carolina
$267
Tennessee
$266
Kentucky
$262
Idaho
$244
Iowa
$224
South Dakota
$207
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