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Custom Fitting Of A Surgical Palate-Covering Device

Maine 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?

$977

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $813 to $1,202.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $3,162 to $3,162Professionalmedian $977 · 10th to 90th $741 to $1,778
$1K$2Kfacility $3,162professional $977

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,023.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$1,995.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$2,238.72
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,174.90
Typical High
$1,862.09

Where Maine 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.

Maine· 33rd of 51

$977

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.