Rates› Wisconsin› D4273

Autogenous Connective Tissue Graft (First Tooth) (D4273) in Wisconsin

Negotiated reimbursement rates for D4273 from CMS Transparency in Coverage data. Based on 8 rate records from 8 providers in Wisconsin.

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Average Negotiated Rate in Wisconsin
$739
8 rate records · 8 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4273 in Wisconsin. 7 provider records.

Provider City Rate Percentile
Dental LabWest Bend$819100th
General DentistMilwaukee$79588th
General DentistStevens Point$79175th
General DentistStevens Point$79175th
General DentistCrandon$77950th
General DentistMilwaukee$76525th
OrthodontistSun Prairie$39012th

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What is D4273?

Autogenous Connective Tissue Graft (First Tooth) (CDT Code D4273) — These rates represent negotiated amounts between dental insurance payors and providers in Wisconsin as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4273

Connecticut
$958
25 records
Maine
$908
10 records
Virginia
$905
37 records

45+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$785
Low
$390
High
$819
25th Percentile
$776
75th Percentile
$792
Data Points
8

Compare D4273 Rates Across All 48 States

Connecticut
$958
Maine
$908
Virginia
$905
New Hampshire
$905
Nevada
$892
Vermont
$859
District of Columbia
$845
New York
$798
Indiana
$780
West Virginia
$739
Wisconsin
$739
Alaska
$733
South Carolina
$687
Maryland
$648
Ohio
$636
Pennsylvania
$635
California
$633
Kentucky
$626
Georgia
$582
Kansas
$578
New Jersey
$565
Massachusetts
$563
Colorado
$561
North Dakota
$536
Missouri
$535
Washington
$526
Alabama
$519
Hawaii
$504
New Mexico
$496
Oregon
$482
Delaware
$472
Florida
$468
North Carolina
$461
Texas
$457
Illinois
$442
Mississippi
$432
Minnesota
$431
Rhode Island
$429
Utah
$405
Arizona
$402
Louisiana
$400
Michigan
$384
Wyoming
$372
Tennessee
$340
Idaho
$313
Oklahoma
$231
Iowa
$230
Nebraska
$180
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