HCPCS Level IIcptActive
21085
Impres&prep oral surg splint
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
$709.77
Non-Facility Price
$429.20
Facility Price
8.77
Work RVU
21.25
Total RVU (Non-Fac)
010
Global Days
Active
Status
Coverage Policies
No coverage policies currently reference this code