Rates› Texas› D6104

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

Negotiated reimbursement rates for D6104 from CMS Transparency in Coverage data. Based on 55 rate records from 55 providers in Texas.

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Average Negotiated Rate in Texas
$131
55 rate records · 55 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D6104 in Texas. 49 provider records.

Provider City Rate Percentile
General DentistHouston$236100th
Oral & Maxillofacial PathologistSan Antonio$236100th
Pediatric DentistCollege Station$17893rd
General DentistBellmead$15191st
General DentistLancaster$12789th
General DentistAllen$12587th
General DentistTexarkana$12587th
General DentistKilleen$12587th
General DentistAbilene$12587th
General DentistMidland$12587th
General DentistLivingston$12587th
General DentistDallas$12587th
General DentistPort Arthur$12587th
General DentistSherman$12587th
General DentistTyler$12587th
General DentistEl Paso$12587th
General DentistEagle Pass$12587th
General DentistTexarkana$12587th
General DentistFort Worth$12587th
General DentistAmarillo$12587th

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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 Texas 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
$125
Low
$66
High
$236
25th Percentile
$125
75th Percentile
$125
Data Points
55

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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