Rates› Utah› D4283

Autogenous Connective Tissue Graft (Each Add'l Tooth) (D4283) in Utah

Negotiated reimbursement rates for D4283 from CMS Transparency in Coverage data. Based on 5 rate records from 5 providers in Utah.

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Average Negotiated Rate in Utah
$221
5 rate records · 5 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4283 in Utah. 4 provider records.

Provider City Rate Percentile
Oral & Maxillofacial Surgery (MD)Salt Lake City$15780th
General DentistHerriman$15660th
General DentistProvo$15040th
Dental LabSouth Jordan$14020th

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What is D4283?

Autogenous Connective Tissue Graft (Each Add'l Tooth) (CDT Code D4283) — These rates represent negotiated amounts between dental insurance payors and providers in Utah as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4283

Maine
$481
4 records
Nevada
$453
23 records
New Hampshire
$441
10 records

45+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$156
Low
$140
High
$504
25th Percentile
$150
75th Percentile
$157
Data Points
5

Compare D4283 Rates Across All 48 States

Maine
$481
Nevada
$453
New Hampshire
$441
Connecticut
$411
New York
$411
Colorado
$399
Massachusetts
$375
District of Columbia
$374
Wisconsin
$365
Virginia
$361
North Dakota
$355
South Carolina
$330
California
$323
Indiana
$312
Missouri
$308
Arizona
$304
West Virginia
$298
Alaska
$294
Washington
$291
Ohio
$284
Kentucky
$280
Georgia
$279
Maryland
$278
Delaware
$269
Rhode Island
$267
New Jersey
$264
Florida
$263
Alabama
$249
Illinois
$249
Pennsylvania
$248
North Carolina
$239
Texas
$237
Michigan
$236
Hawaii
$234
Oklahoma
$230
New Mexico
$227
Utah
$221
South Dakota
$186
Mississippi
$183
Oregon
$177
Minnesota
$172
Tennessee
$171
Idaho
$157
Wyoming
$156
Louisiana
$148
Kansas
$134
Nebraska
$85
Iowa
$80
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