go back

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 October 2026.

How much does Unlisted Face or Jaw Prosthesis Service cost?

$1,514

Typical facility fee. In Nevada, October 2026.

Insurers have agreed to pay about $1,514 for this service. Most negotiated rates run $331 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 $1,738 · 10th to 90th $115 to $4,365Professionalmedian $912 · 10th to 90th $617 to $5,129
$100$200$500$1K$2K$5Kfacility $1,738professional $912

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2,238.72
Median
$3,548.13
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$912.01
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$831.76
Typical High
$912.01
Select Health
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,128.61
United
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$245.47
Typical High
$1,949.84

Where Nevada sits

The same service costs 38.0 times more in New York than in Montana. 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· 6th of 51

$1,514

NY $3,020MT $79.43

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.