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Custom Fitting Of A Surgical Palate-Covering Device

Washington, DC rates for HCPCS 21076

This is the process of taking impressions and custom-designing a prosthetic device that covers and seals an opening in the roof of the mouth, made to be placed at the time of surgery such as after removal of a tumor. It helps the patient speak, swallow, and eat normally while the surgical area heals.

Rates data updated July 2026.

How much does Custom Fitting Of A Surgical Palate-Covering Device cost?

$891

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $708 to $1,259.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $891 · 10th to 90th $708 to $8,318Professionalmedian $891 · 10th to 90th $692 to $1,514
$1K$2K$5K$10K$20Kfacility $891professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$851.14
Typical High
$1,513.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,862.09
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,258.93
Typical High
$2,187.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,288.25
Typical High
$2,187.76

Where Washington, DC sits

The same service costs 2.7 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 44th of 51

$891

CA $2,188KY $813

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.