CPT 21087
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
$769
Average
$5.4k
Median
$4.9k
High
$17.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 5.0× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 474 | $5.9k | $6.7k | $8.0k | 120% | — | $1 – $173.8k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 410 | $6.1k | $6.8k | $4.9k | 72% | — | $1 – $42.4k |
| 3 | Humana fee schedule · outpatient · +6 other terms | 335 | $5.8k | $4.5k | $2.7k | 61% | — | $1 – $17.1k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 323 | $6.9k | $7.5k | $6.1k | 81% | — | $1 – $58.9k |
| 5 | Cigna fee schedule · outpatient · +6 other terms | 197 | $5.9k | $7.1k | $5.3k | 75% | — | $0 – $30.6k |
| 6 | Molina fee schedule · outpatient · +5 other terms | 189 | $2.6k | $2.6k | $3.5k | 135% | — | $1 – $13.7k |
| 7 | WellCare fee schedule · outpatient · +5 other terms | 153 | $6.0k | $6.0k | $2.6k | 43% | — | $556 – $13.9k |
| 8 | Anthem fee schedule · outpatient · +4 other terms | 119 | $7.4k | $6.4k | $6.9k | 108% | — | $639 – $43.3k |
| 9 | Kaiser fee schedule · outpatient · +4 other terms | 91 | $8.1k | $10.7k | $7.0k | 66% | — | $1.2k – $42.0k |
| 10 | Devoted fee schedule · outpatient · +4 other terms | 68 | $6.0k | $5.5k | $1.5k | 28% | — | $1.2k – $6.7k |
| 11 | Aetna Better Health fee schedule · outpatient · +5 other terms | 63 | $668 | $875 | $928 | 106% | — | $582 – $5.5k |
| 12 | Ambetter fee schedule · outpatient · +4 other terms | 62 | $10.2k | $7.6k | $5.2k | 68% | — | $146 – $14.3k |
| 13 | Caresource fee schedule · outpatient · +4 other terms | 40 | $5.8k | $3.4k | $3.3k | 99% | — | $1 – $10.1k |
| 14 | Oscar fee schedule · outpatient · +3 other terms | 40 | $9.5k | $7.0k | $5.2k | 74% | — | $1 – $16.9k |
| 15 | Optum fee schedule · outpatient · +5 other terms | 35 | $5.7k | $6.7k | $5.1k | 76% | — | $1.2k – $21.9k |
| 16 | Bcbs Tx fee schedule · outpatient · +1 other terms | 33 | $1.9k | $1.7k | $1.6k | 95% | — | $529 – $6.1k |
| 17 | Clover fee schedule · outpatient · +3 other terms | 31 | $6.5k | $6.3k | $402 | 6% | — | $5.3k – $7.0k |
| 18 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 27 | $556 | $2.9k | $2.7k | 91% | — | $556 – $6.2k |
| 19 | Tricare fee schedule · outpatient · +5 other terms | 27 | $5.4k | $5.1k | $947 | 19% | — | $3.8k – $7.0k |
| 20 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $10.0k | $9.7k | $2.2k | 23% | — | $1.1k – $13.7k |
| 21 | Medicare fee schedule · outpatient · +5 other terms | 24 | $1.2k | $2.2k | $1.9k | 85% | — | $1.2k – $5.9k |
| 22 | Medica fee schedule · outpatient · +4 other terms | 23 | $3.2k | $3.5k | $1.7k | 47% | — | $1.1k – $6.2k |
| 23 | MultiPlan fee schedule · outpatient · +4 other terms | 22 | $9.4k | $9.3k | $530 | 6% | — | $5.6k – $9.4k |
| 24 | First Health fee schedule · outpatient · +2 other terms | 20 | $6.2k | $3.5k | $3.6k | 104% | — | $529 – $12.1k |
| 25 | Regence professional · fee schedule · outpatient · +2 other terms | 20 | $959 | $1.0k | $417 | 40% | — | $864 – $3.1k |
← Hospitals reporting CPT 21087 · Snapshot 20261113T090226Z-3ce6c0b8