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Custom Appliance After Lower Jaw Removal

Alaska 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?

$3,802

Typical physician fee. In Alaska, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $1,549 to $6,166.

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

Professionalmedian $3,802 · 10th to 90th $1,288 to $7,586
$2K$5K$10Kprofessional $3,802

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
$1,202.26
Median
$1,548.82
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,570.40
Typical High
$5,370.32
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,786.30
Typical High
$7,943.28
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$6,165.95
Typical High
$8,912.51
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$2,290.87
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$6,025.60
Typical High
$8,709.64

Where Alaska sits

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.

Alaska· 1st of 51

$3,802

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.