search again

Nationwide rates for HCPCS 21085

Impression and custom preparation; oral surgical splint

Facilitymedian $3,020 · 10th–90th $562$9,5500%10%10th90th$3,020Professionalmedian $724 · 10th–90th $479$1,6980%20%40%10th90th$724$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $3,467.37 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $691.83 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,897.79 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $741.31 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $1,479.11 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $891.25 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,000.00 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $758.58 / $1,412.54