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Custom Appliance After Lower Jaw Removal

Minnesota 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?

$3,311

Typical physician fee. In Minnesota, July 2026.

Insurers have agreed to pay about $3,311 for this service. Most negotiated rates run $2,399 to $4,365.

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 $3,311 · 10th to 90th $1,622 to $5,623
$2K$5K$10Kprofessional $3,311

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
$2,454.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,388.44
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,073.80
Typical High
$6,606.93
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,890.45
Typical High
$6,165.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,235.94
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,818.38
Typical High
$5,128.61

Where Minnesota 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.

Minnesota· 2nd of 51

$3,311

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.