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
$7.6k
Median
$6.7k
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 4.8× 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 | Aetna facility · percent of total billed charges · outpatientfrom % of charges · +7 other terms | 16 | $5.3k | $8.4k | $7.2k | 86% | — | $901 – $27.2k |
| 2 | Humana facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms | 16 | $6.8k | $7.6k | $4.1k | 54% | — | $3.2k – $23.1k |
| 3 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +4 other terms | 15 | $6.8k | $6.2k | $1.2k | 19% | — | $2.0k – $6.8k |
| 4 | UnitedHealthcare facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms | 15 | $3.2k | $3.4k | $2.1k | 62% | — | $1.0k – $11.4k |
| 5 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 12 | $3.5k | $3.2k | $845 | 26% | — | $1.2k – $4.2k |
| 6 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 12 | $1.6k | $1.6k | $517 | 32% | — | $970 – $3.0k |
| 7 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges · +7 other terms | 9 | $34.9k | $16.1k | $14.1k | 88% | — | $3.4k – $34.9k |
| 8 | Cigna percent of total billed charges · bothfrom % of charges · +6 other terms | 8 | $12.4k | $8.2k | $4.0k | 49% | — | $1.6k – $14.4k |
| 9 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +7 other terms | 8 | $8.7k | $9.4k | $1.4k | 14% | — | $8.4k – $12.4k |
| 10 | Caresource percent of total billed charges · outpatientfrom % of charges · +1 other terms | 6 | $18.6k | $13.4k | $6.7k | 50% | — | $4.1k – $18.6k |
← Hospitals reporting CPT 21077 · Snapshot 20261113T090226Z-3ce6c0b8