Bone Graft — Implant Repair (Each Add'l Site) (D6104) in New York

Negotiated reimbursement rates for D6104 from CMS Transparency in Coverage data. Based on 40 rate records from 40 providers in New York.

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Average Negotiated Rate in New York
$453
40 rate records · 40 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D6104 in New York. 35 provider records.

Provider City Rate Percentile
Dental LabSchenectady$1,050100th
Oral SurgeonNew York$61198th
General DentistAstoria$55595th
OrthodontistLockport$52192nd
OrthodontistPittsford$52192nd
General DentistBuffalo$52192nd
General DentistBuffalo$52192nd
Pediatric DentistBuffalo$52192nd
Pediatric DentistBuffalo$52192nd
General DentistHamburg$52192nd
Pediatric DentistWilliamsville$52192nd
Oral SurgeonBuffalo$52192nd
Pediatric DentistHamburg$52192nd
Pediatric DentistAmherst$52192nd
OrthodontistWilliamsville$52192nd
OrthodontistPort Jefferson Station$50157th
General DentistMonsey$45552nd
General DentistMonsey$45552nd
Dental LabSuffern$39448th
General DentistBrooklyn$39448th

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What is D6104?

Bone Graft — Implant Repair (Each Add'l Site) (CDT Code D6104) — These rates represent negotiated amounts between dental insurance payors and providers in New York as reported in CMS Transparency in Coverage machine-readable files.

Top States for D6104

Virginia
$469
11 records
New York
$453
40 records
Nevada
$425
12 records

44+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$455
Low
$93
High
$1,050
25th Percentile
$394
75th Percentile
$521
Data Points
40

Compare D6104 Rates Across All 47 States

Virginia
$469
New York
$453
Nevada
$425
North Dakota
$375
Utah
$295
Alaska
$289
Connecticut
$274
New Jersey
$259
District of Columbia
$253
Washington
$246
Oregon
$242
Ohio
$232
Puerto Rico
$221
Indiana
$218
Minnesota
$212
South Carolina
$209
Delaware
$200
New Hampshire
$198
Arizona
$193
Florida
$190
Massachusetts
$189
Maryland
$189
Kentucky
$186
Louisiana
$185
California
$178
Michigan
$168
Rhode Island
$158
Pennsylvania
$153
New Mexico
$150
North Carolina
$147
Illinois
$139
Georgia
$137
Colorado
$132
Missouri
$132
Texas
$131
Maine
$124
Mississippi
$122
Idaho
$114
West Virginia
$112
Tennessee
$102
Oklahoma
$100
Alabama
$99
Arkansas
$88
Hawaii
$87
Nebraska
$81
Iowa
$78
Kansas
$74
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