go back

Custom-Made Interim Plate For A Palate Opening

Missouri rates for HCPCS 21079

An impression is taken of the mouth and a custom plate, called an obturator, is made to seal an opening in the roof of the mouth. This one is worn during the healing phase after surgery, holding the shape of the tissues and letting the person eat, drink and speak until a long-term plate is fitted.

Professionalmedian $1,549 · 10th–90th $1,096$2,8840%10%10th90th$1,549$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,479.11
Typical High
$2,818.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,659.59
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,905.46
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,454.71
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$2,511.89