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Custom Appliance After Lower Jaw Removal

Nebraska 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?

$2,188

Typical physician fee. In Nebraska, July 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $1,445 to $3,236.

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 $2,188 · 10th to 90th $1,148 to $6,457
$1K$2K$5K$10Kprofessional $2,188

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
$1,148.15
Median
$1,949.84
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,041.74
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$4,570.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,235.94
Typical High
$11,481.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,715.35
Typical High
$4,677.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,467.37
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,818.38
Typical High
$4,073.80

Where Nebraska 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.

Nebraska· 8th of 51

$2,188

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.