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Custom Appliance After Lower Jaw Removal

New York 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?

$1,738

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $1,738 for this service. Most negotiated rates run $1,445 to $2,344.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,738 · 10th to 90th $1,259 to $3,890
$1K$2K$5K$10Kprofessional $1,738

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
$1,621.81
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$4,265.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,454.71
Typical High
$5,754.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,570.40
Typical High
$3,467.37
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,041.74
Typical High
$3,235.94
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$2,137.96
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,949.84
Typical High
$4,365.16
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,905.46
Typical High
$4,265.80

Where New York 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.

New York· 26th of 51

$1,738

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.