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Unlisted Face or Jaw Prosthesis Service

Nevada rates for HCPCS 21089

Covers the making or fitting of an artificial replacement for a missing or damaged part of the face, jaw or mouth when no standard named service applies. These custom devices restore appearance and function after cancer surgery, injury, or a condition present from birth. Because each one is built for a single person, the specialist records exactly what was designed and fitted.

Rates data updated July 2026.

How much does Unlisted Face or Jaw Prosthesis Service cost?

$1,514

Typical physician fee. In Nevada, July 2026.

Insurers have agreed to pay about $1,514 for this service. Most negotiated rates run $912 to $3,548.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,047 to $4,467Professionalmedian $50 · 10th to 90th $31 to $5,012
$50$100$200$500$1K$2K$5Kfacility $2,239professional $50

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,467.37
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$912.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,047.13
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$50.12

Where Nevada sits

The same service costs 1148.2 times more in Pennsylvania than in Maryland. 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.

Nevada· 16th of 49

$1,514

PA $54,954MD $47.86

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.