Non-Autogenous Connective Tissue Graft (Each Add'l) (D4285) in South Carolina

Name: Non-Autogenous Connective Tissue Graft (Each Add'l) (D4285) Reimbursement Rates in South Carolina — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: non-autogenous connective tissue graft (each add'l) cost, non-autogenous connective tissue graft (each add'l) reimbursement rate, D4285 PPO rate, non-autogenous connective tissue graft (each add'l) negotiated rate, D4285 fee schedule, dental non-autogenous connective tissue graft (each add'l) price, D4285 dental insurance rate

Negotiated reimbursement rates for D4285 from CMS Transparency in Coverage data. Based on 14 rate records from 14 providers in South Carolina.

Average Negotiated Rate in South Carolina

$310

14 rate records · 14 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4285 in South Carolina. 14 provider records.

Provider	City	Rate	Percentile
Carolina Oral & Facial Surgery, P.A.Oral Surgeon	Greenville	$690	100th
General Dentist	Columbia	$457	93rd
Omscor LlcDentist	Powdersville	$413	86th
Harmony Oral And Facial Surgery LlcDentist	Tega Cay	$412	79th
Indian Land Oral & Facial Surgery LlcOral Surgeon	Fort Mill	$375	71st
Oral Surgery Of South Carolina LlcOral Surgeon	N Charleston	$375	71st
Philip WitkinGeneral Dentist	Walterboro	$358	57th
University Medical AssociatesOral & Maxillofacial Surgery (MD)	Charleston	$262	50th
Ryan O'Malley LlcDentist	Simpsonville	$200	43rd
Sloan RehderOral Surgeon	Charleston	$199	36th
Stefan WilkesGeneral Dentist	Spartanburg	$181	29th
Oral & Maxillofacial Surgery (MD)	Rock Hill	$178	21st
Gary StoughGeneral Dentist	Hilton Head Island	$125	14th
Aashna OberoiGeneral Dentist	Columbia	$119	7th

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What is D4285?

Non-Autogenous Connective Tissue Graft (Each Add'l) (CDT Code D4285) — 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 D4285

New York

$573

21 records

Nevada

$371

16 records

Pennsylvania

$355

8 records

41+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$310

Low

$119

High

$690

25th Percentile

$186

75th Percentile

$403

Data Points

Compare D4285 Rates Across All 44 States

New York

$573

Nevada

$371

Pennsylvania

$355

South Carolina

$310

New Hampshire

$283

Maine

$280

California

$215

Michigan

$202

Oregon

$198

Colorado

$196

Connecticut

$192

Virginia

$185

Washington

$184

Alaska

$175

Nebraska

$174

Arkansas

$173

New Jersey

$171

Florida

$168

Missouri

$167

Wisconsin

$167

Georgia

$166

Arizona

$161

Illinois

$159

New Mexico

$158

Ohio

$149

Mississippi

$147

Rhode Island

$145

Massachusetts

$144

Kentucky

$141

Maryland

$141

Indiana

$139

Texas

$136

Hawaii

$129

Tennessee

$127

North Carolina

$121

Alabama

$116

Minnesota

$114

Idaho

$109

Iowa

$107

Utah

$107

Montana

$106

Kansas

$103

Louisiana

$100

North Dakota

$97

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