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Custom Fitting Of A Surgical Palate-Covering Device

Florida 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?

$5,137

Typical total for the visit. In Florida, July 2026.

Insurers have agreed to pay about $5,137 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $4,266 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$871$741 to $1,023
Facility feeThe hospital or surgery center$4,266$2,455 to $6,310

How much rates vary

Facilitymedian $4,266 · 10th to 90th $813 to $9,333Professionalmedian $871 · 10th to 90th $661 to $1,259
$500$1K$2K$5K$10Kfacility $4,266professional $871

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
$691.83
Median
$812.83
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$1,230.27
AvMed
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,073.80
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$1,819.70
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,897.79
Typical High
$9,772.37
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$549.54
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,235.94
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$933.25
Typical High
$1,698.24
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$977.24

Where Florida sits

The same service costs 6.8 times more in Indiana than in Delaware. 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.

Physician feeFacility fee

Florida· 6th of 50

$5,137

$871 physician + $4,266 facility

IN $8,794DE $1,299

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.