Surgical Revision (Failed Previous Graft Site) (D4268) in South Carolina

Negotiated reimbursement rates for D4268 from CMS Transparency in Coverage data. Based on 10 rate records from 10 providers in South Carolina.

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Average Negotiated Rate in South Carolina
$432
10 rate records · 10 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4268 in South Carolina. 10 provider records.

Provider City Rate Percentile
DentistPowdersville$606100th
Oral SurgeonFort Mill$55190th
Oral SurgeonN Charleston$55190th
General DentistColumbia$54270th
Oral & Maxillofacial Surgery (MD)Charleston$41260th
General DentistWalterboro$40550th
Pediatric DentistOkatie$36340th
General DentistLaurens$34930th
Oral & Maxillofacial Surgery (MD)Rock Hill$28020th
DentistSimpsonville$26210th

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What is D4268?

Surgical Revision (Failed Previous Graft Site) (CDT Code D4268) — These rates represent negotiated amounts between dental insurance payors and providers in South Carolina as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4268

California
$593
13 records
Pennsylvania
$586
1 records
Washington
$489
1 records

12+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$409
Low
$262
High
$606
25th Percentile
$352
75th Percentile
$549
Data Points
10

Compare D4268 Rates Across All 15 States

California
$593
Pennsylvania
$586
Washington
$489
South Carolina
$432
Virginia
$393
New York
$382
Indiana
$355
Nevada
$338
District of Columbia
$327
New Jersey
$327
Kentucky
$302
Connecticut
$254
Michigan
$254
Nebraska
$254
Texas
$232
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