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Custom Appliance After Lower Jaw Removal

Massachusetts 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?

$1,950

Typical physician fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,950 for this service. Most negotiated rates run $1,514 to $3,020.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,950 · 10th to 90th $1,288 to $4,169
$1K$2K$5K$10Kprofessional $1,950

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
$1,230.27
Median
$1,659.59
Typical High
$3,981.07
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,290.87
Typical High
$4,265.80
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,187.76
Typical High
$3,090.30
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,187.76
Typical High
$4,168.69
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,398.83
Typical High
$4,365.16

Where Massachusetts 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.

Massachusetts· 14th of 51

$1,950

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.