CPT 21088
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
$663
Average
$4.4k
Median
$3.8k
High
$10.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 3.8× 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 fee schedule · outpatient · +5 other terms | 403 | $3.5k | $4.7k | $5.4k | 116% | — | $1 – $96.2k |
| 2 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 397 | $3.7k | $6.6k | $6.1k | 94% | — | $1 – $95.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 317 | $5.2k | $7.9k | $5.5k | 70% | — | $1 – $58.9k |
| 4 | Humana fee schedule · outpatient · +5 other terms | 282 | $3.3k | $3.5k | $1.9k | 55% | — | $1 – $12.8k |
| 5 | Cigna fee schedule · outpatient · +5 other terms | 195 | $3.5k | $5.7k | $4.4k | 78% | — | $0 – $20.7k |
| 6 | WellCare fee schedule · outpatient · +3 other terms | 149 | $3.3k | $3.5k | $1.2k | 33% | — | $1.3k – $7.6k |
| 7 | Molina fee schedule · outpatient · +3 other terms | 117 | $3.8k | $4.1k | $1.8k | 43% | — | $1 – $7.7k |
| 8 | Anthem fee schedule · outpatient · +4 other terms | 115 | $3.3k | $3.2k | $4.5k | 139% | — | $540 – $24.3k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 91 | $4.6k | $6.2k | $3.5k | 56% | — | $3.2k – $22.4k |
| 10 | Devoted fee schedule · outpatient · +1 other terms | 68 | $3.4k | $3.4k | $183 | 5% | — | $3.1k – $3.7k |
| 11 | Ambetter fee schedule · outpatient · +2 other terms | 59 | $5.8k | $4.8k | $2.5k | 53% | — | $760 – $8.0k |
| 12 | Caresource fee schedule · outpatient · +1 other terms | 40 | $3.2k | $2.4k | $1.5k | 60% | — | $1 – $5.7k |
| 13 | Optum fee schedule · outpatient · +2 other terms | 35 | $3.3k | $4.4k | $2.3k | 52% | — | $3.0k – $12.2k |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $1.9k | $1.9k | $825 | 44% | — | $823 – $4.4k |
| 15 | Oscar facility · fee schedule · outpatient · +2 other terms | 32 | $5.3k | $5.4k | $1.1k | 20% | — | $3.7k – $7.1k |
| 16 | Clover fee schedule · outpatient · +1 other terms | 31 | $3.5k | $3.5k | $202 | 6% | — | $3.0k – $3.8k |
| 17 | Tricare fee schedule · outpatient · +5 other terms | 27 | $3.8k | $3.7k | $819 | 22% | — | $3.0k – $5.4k |
| 18 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $9.3k | $8.7k | $2.6k | 30% | — | $1.4k – $13.4k |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 24 | $3.3k | $3.3k | $102 | 3% | — | $2.8k – $3.3k |
| 20 | Medica fee schedule · outpatient · +4 other terms | 23 | $5.2k | $4.1k | $1.7k | 41% | — | $568 – $6.3k |
| 21 | MultiPlan fee schedule · outpatient · +2 other terms | 22 | $5.2k | $5.1k | $357 | 7% | — | $3.0k – $5.2k |
| 22 | Regence fee schedule · outpatient · +2 other terms | 18 | $6.8k | $7.4k | $3.1k | 42% | — | $3.7k – $16.8k |
| 23 | Highmark fee schedule · outpatient · +4 other terms | 17 | $4.0k | $4.0k | $1.4k | 35% | — | $435 – $9.7k |
| 24 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 16 | $3.2k | $4.1k | $2.4k | 59% | — | $1.7k – $12.5k |
| 25 | Bcbs Mn fee schedule · outpatient · +3 other terms | 13 | $1.6k | $2.6k | $2.4k | 92% | — | $496 – $11.4k |
← Hospitals reporting CPT 21088 · Snapshot 20261113T090226Z-3ce6c0b8