Rates› Minnesota› D4277

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

Negotiated reimbursement rates for D4277 from CMS Transparency in Coverage data. Based on 28 rate records from 28 providers in Minnesota.

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Average Negotiated Rate in Minnesota
$540
28 rate records · 28 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4277 in Minnesota. 27 provider records.

Provider City Rate Percentile
Oral SurgeonEagan$850100th
Oral SurgeonMinneapolis$850100th
Oral SurgeonEagan$850100th
Dental LabDuluth$850100th
Oral SurgeonMonticello$78082nd
Dental LabMaplewood$68979th
General DentistWest Saint Paul$57475th
General DentistSaint Paul$44871st
General DentistBrooklyn Center$44871st
General DentistBemidji$44871st
General DentistBrooklyn Park$44871st
General DentistSaint Paul$44871st
General DentistWest Saint Paul$44871st
Dental LabBrooklyn Center$44871st
General DentistMinneapolis$44871st
General DentistSaint Cloud$44871st
General DentistApple Valley$44871st
General DentistWest St Paul$44871st
General DentistForest Lake$44871st
General DentistRochester$44871st

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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 Minnesota 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
$448
Low
$339
High
$850
25th Percentile
$448
75th Percentile
$603
Data Points
28

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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