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Custom Appliance After Lower Jaw Removal

Oregon 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?

$2,692

Typical physician fee. In Oregon, July 2026.

Insurers have agreed to pay about $2,692 for this service. Most negotiated rates run $1,905 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $2,692 · 10th to 90th $1,380 to $3,981
$100$200$500$1K$2K$5Kprofessional $2,692

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
$1,737.80
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,691.53
Typical High
$4,073.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,019.95
Typical High
$3,801.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,818.38
Typical High
$3,715.35
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,818.38
Typical High
$3,981.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,090.30
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,754.23
Typical High
$3,981.07

Where Oregon 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.

Oregon· 3rd of 51

$2,692

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.