Bridge Retainer — Onlay, Cast Base Metal (2 Surf) (D6612) in Utah

Negotiated reimbursement rates for D6612 from CMS Transparency in Coverage data. Based on 4 rate records from 4 providers in Utah.

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Average Negotiated Rate in Utah
$526
4 rate records · 4 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D6612 in Utah. 4 provider records.

Provider City Rate Percentile
Oral SurgeonLehi$625100th
General DentistAlpine$52475th
General DentistProvo$52150th
General DentistSouth Jordan$43425th

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What is D6612?

Bridge Retainer — Onlay, Cast Base Metal (2 Surf) (CDT Code D6612) — 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 D6612

Maine
$946
3 records
Washington
$918
17 records
Oregon
$851
11 records

48+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$522
Low
$434
High
$625
25th Percentile
$499
75th Percentile
$549
Data Points
4

Compare D6612 Rates Across All 51 States

Maine
$946
Washington
$918
Oregon
$851
Alaska
$805
District of Columbia
$785
Massachusetts
$741
Connecticut
$726
Georgia
$693
Indiana
$692
Delaware
$660
Colorado
$655
Mississippi
$646
California
$644
New Hampshire
$633
Florida
$627
Kentucky
$624
South Carolina
$623
Wisconsin
$614
Virginia
$613
Arizona
$612
New Jersey
$589
New York
$584
Hawaii
$576
Michigan
$574
New Mexico
$572
Missouri
$566
Maryland
$553
Oklahoma
$550
North Carolina
$549
Ohio
$549
Pennsylvania
$536
Texas
$534
Alabama
$534
Utah
$526
Illinois
$516
Vermont
$509
Louisiana
$509
Kansas
$506
Nevada
$494
Wyoming
$490
North Dakota
$478
Tennessee
$455
Arkansas
$436
Idaho
$432
Minnesota
$424
West Virginia
$416
Rhode Island
$411
Montana
$392
Nebraska
$365
Iowa
$306
South Dakota
$213
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