CPT 21077
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Prepare face/oral prosthesis
Low
$1.2k
Average
$6.9k
Median
$5.9k
High
$20.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
48 payers; the 90th percentile is 3.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +4 other terms | 428 | $9.3k | $9.1k | $4.7k | 51% | — | $1 – $36.5k |
| 2 | Cigna case rate · outpatient · +2 other terms | 223 | $6.8k | $11.7k | $8.3k | 71% | — | $1 – $40.7k |
| 3 | Aetna case rate · outpatient · +3 other terms | 170 | $5.5k | $5.8k | $4.3k | 74% | — | $645 – $29.5k |
| 4 | Blue Cross Blue Shield case rate · outpatient · +2 other terms | 149 | $7.6k | $9.9k | $9.1k | 92% | — | $5 – $49.3k |
| 5 | Humana case rate · outpatient · +3 other terms | 146 | $5.7k | $5.7k | $1.5k | 27% | — | $2.2k – $12.9k |
| 6 | Oscar case rate · outpatient · +1 other terms | 130 | $9.4k | $8.9k | $3.1k | 34% | — | $3.5k – $17.8k |
| 7 | Molina case rate · outpatient · +3 other terms | 122 | $5.6k | $4.4k | $3.3k | 74% | — | $206 – $15.9k |
| 8 | Anthem case rate · outpatient · +3 other terms | 108 | $8.4k | $8.7k | $3.4k | 39% | — | $1.6k – $29.0k |
| 9 | Healthcare Highways case rate · outpatient | 76 | $6.4k | $7.0k | $1.1k | 16% | — | $3.4k – $8.6k |
| 10 | WellCare facility · case rate · outpatient · +2 other terms | 48 | $6.4k | $6.2k | $1.8k | 30% | — | $1.9k – $10.5k |
| 11 | Kaiser case rate · both · +3 other terms | 41 | $12.3k | $11.2k | $6.3k | 57% | — | $4.7k – $22.4k |
| 12 | Superior Healthplan case rate · outpatient | 38 | $948 | $1.2k | $1.4k | 116% | — | $929 – $8.9k |
| 13 | Ambetter case rate · outpatient · +1 other terms | 34 | $8.7k | $5.8k | $4.3k | 73% | — | $0 – $16.7k |
| 14 | Medica case rate · outpatient · +1 other terms | 28 | $4.0k | $5.0k | $2.2k | 45% | — | $1.6k – $10.6k |
| 15 | Caresource facility · case rate · outpatient · +1 other terms | 24 | $1.5k | $8.6k | $19.9k | 233% | — | $1.4k – $108.4k |
| 16 | Optum case rate · outpatient · +1 other terms | 24 | $5.4k | $5.8k | $586 | 10% | — | $5.4k – $7.0k |
| 17 | Bcbs La case rate · outpatient | 16 | $5.4k | $5.4k | $43 | 1% | — | $5.4k – $5.6k |
| 18 | Regence facility · case rate · outpatient · +2 other terms | 16 | $6.2k | $7.4k | $3.3k | 45% | — | $5.5k – $18.2k |
| 19 | Ucare case rate · outpatient · +1 other terms | 15 | $6.2k | $6.1k | $110 | 2% | — | $5.9k – $6.2k |
| 20 | Amerihealth Caritas case rate · outpatient · +1 other terms | 12 | $13.3k | $13.2k | $3.5k | 27% | — | $2.1k – $16.0k |
| 21 | Cigna Healthspring case rate · outpatient · +1 other terms | 12 | $6.0k | $5.8k | $195 | 3% | — | $5.4k – $6.0k |
| 22 | Wellmark case rate · outpatient · +2 other terms | 11 | $5.6k | $5.9k | $744 | 13% | — | $5.6k – $8.3k |
| 23 | Aetna Better Health facility · case rate · outpatient | 9 | $2.3k | $2.8k | $1.3k | 47% | — | $2.2k – $6.3k |
| 24 | Medical Mutual facility · case rate · outpatient · +1 other terms | 9 | $9.4k | $11.3k | $2.7k | 23% | — | $5.5k – $14.6k |
| 25 | Devoted facility · case rate · outpatient | 7 | $6.0k | $5.0k | $1.8k | 36% | — | $2.2k – $6.5k |
← Hospitals reporting CPT 21077 · Snapshot 20261113T090226Z-3ce6c0b8