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Custom Appliance After Lower Jaw Removal

Colorado 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?

$1,549

Typical physician fee. In Colorado, July 2026.

Insurers have agreed to pay about $1,549 for this service. Most negotiated rates run $1,318 to $1,950.

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 $1,549 · 10th to 90th $1,202 to $2,884
$2K$5Kprofessional $1,549

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
$1,513.56
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,041.74
Typical High
$3,235.94
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,659.59
Typical High
$5,888.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,041.74
Typical High
$3,630.78

Where Colorado 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.

Colorado· 39th of 51

$1,549

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.