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Custom Fitting Of A Surgical Palate-Covering Device

Vermont 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?

$1,023

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $1,000 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,023 · 10th to 90th $832 to $1,413
$1K$2Kprofessional $1,023

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
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$1,698.24
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$2,238.72

Where Vermont 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.

Vermont· 29th of 51

$1,023

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.