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

Name: Combined Connective Tissue Graft (Each Add'l Tooth) (D4286) Reimbursement Rates in Nebraska — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: combined connective tissue graft (each add'l tooth) cost, combined connective tissue graft (each add'l tooth) reimbursement rate, D4286 PPO rate, combined connective tissue graft (each add'l tooth) negotiated rate, D4286 fee schedule, dental combined connective tissue graft (each add'l tooth) price, D4286 dental insurance rate

Negotiated reimbursement rates for D4286 from CMS Transparency in Coverage data. Based on 12 rate records from 12 providers in Nebraska.

Average Negotiated Rate in Nebraska

$209

12 rate records · 12 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4286 in Nebraska. 12 provider records.

Provider	City	Rate	Percentile
Emma RenoGeneral Dentist	Omaha	$220	100th
Regan MackintoshGeneral Dentist	Omaha	$212	92nd
Spencer BurtonGeneral Dentist	Omaha	$212	92nd
I Fen HoungGeneral Dentist	Omaha	$212	92nd
Robert GrodeGeneral Dentist	Omaha	$212	92nd
Elisa Wiest CortezGeneral Dentist	Omaha	$212	92nd
Andrea StahleckerGeneral Dentist	Omaha	$212	92nd
Nicole MuellemanGeneral Dentist	Omaha	$212	92nd
Yu-Ting ChiangGeneral Dentist	Papillion	$212	92nd
Katherine KusekDental Lab	Albion	$212	92nd
Kari OlbreyGeneral Dentist	Omaha	$212	92nd
Elliott SpennerGeneral Dentist	Grand Island	$173	8th

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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 Nebraska 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

$212

Low

$173

High

$220

25th Percentile

$212

75th Percentile

$212

Data Points

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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