Rates› Missouri› D4286

Combined Connective Tissue Graft (Each Add'l Tooth) (D4286) in Missouri

Negotiated reimbursement rates for D4286 from CMS Transparency in Coverage data. Based on 27 rate records from 27 providers in Missouri.

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Average Negotiated Rate in Missouri
$433
27 rate records · 27 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4286 in Missouri. 24 provider records.

Provider City Rate Percentile
General DentistO Fallon$593100th
Pediatric DentistKansas City$593100th
General DentistBlue Springs$593100th
Pediatric DentistBlue Springs$593100th
General DentistLees Summit$593100th
Oral SurgeonKansas City$593100th
Pediatric DentistSaint Louis$53778th
General DentistUnion$53778th
General DentistTown And Country$53778th
General DentistWeldon Spring$53778th
Pediatric DentistEllisville$52663rd
Oral & Maxillofacial Surgery (MD)Joplin$45259th
General DentistLees Summit$37756th
General DentistSaint Louis$37052nd
Pediatric DentistSpringfield$36648th
General DentistJoplin$36648th
General DentistWebb City$36648th
Oral SurgeonSaint Louis$34733rd
General DentistFarmington$34330th
General DentistWest Plains$34022nd

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What is D4286?

Combined Connective Tissue Graft (Each Add'l Tooth) (CDT Code D4286) — These rates represent negotiated amounts between dental insurance payors and providers in Missouri as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4286

Maine
$602
5 records
Oregon
$492
4 records
New Hampshire
$475
9 records

46+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$370
Low
$220
High
$593
25th Percentile
$343
75th Percentile
$537
Data Points
27

Compare D4286 Rates Across All 49 States

Maine
$602
Oregon
$492
New Hampshire
$475
Missouri
$433
Minnesota
$432
Connecticut
$389
New York
$381
Massachusetts
$379
Georgia
$373
California
$364
Washington
$361
Kentucky
$351
Colorado
$342
Arizona
$338
Michigan
$338
New Jersey
$336
Pennsylvania
$334
Ohio
$329
Florida
$319
Wyoming
$318
Iowa
$314
Texas
$311
Kansas
$311
Delaware
$310
Virginia
$309
Maryland
$293
Alabama
$292
Illinois
$292
Hawaii
$289
New Mexico
$288
Utah
$273
Louisiana
$272
District of Columbia
$270
Alaska
$265
Tennessee
$264
Nevada
$264
Oklahoma
$264
West Virginia
$262
Mississippi
$257
Idaho
$247
Indiana
$238
North Dakota
$231
Wisconsin
$221
South Carolina
$219
North Carolina
$210
Nebraska
$209
Arkansas
$187
Montana
$177
Vermont
$176
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