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Custom Appliance After Lower Jaw Removal

Nationwide rates for HCPCS 21081

Takes impressions of the mouth and builds a custom-made appliance for someone who has had part of the lower jaw removed. The device supports the remaining jaw in a workable position and helps restore chewing, speech, and the shape of the lower face. It is made individually in a dental laboratory and fitted and adjusted over a series of visits.

Rates data updated July 2026.

How much does Custom Appliance After Lower Jaw Removal cost?

$1,738

Typical physician fee. Nationwide, July 2026.

Insurers have agreed to pay about $1,738 for this service. Most negotiated rates run $1,413 to $2,512.

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 60 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,738 ยท 10th to 90th $1,202 to $3,802
$1K$2K$5K$10Kprofessional $1,738

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
$1,174.90
Median
$1,548.82
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,137.96
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$3,388.44

What it costs in each state

The same service costs 2.7 times more in Alaska 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.

Touch or drag across the chart to see any state's rate.

AK $3,802KY $1,413

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.