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Upper Jaw Repositioning Surgery, Multi-Segment

Arkansas rates for HCPCS 21143

This surgery cuts and repositions the upper jaw bone to correct a significant misalignment of the bite or facial structure, dividing the jaw into three or more separate segments so each piece can be moved independently into the right position. It does not involve adding bone graft material. It's a more complex version of upper jaw repositioning surgery, used when different parts of the jaw need to move in different directions.

Facilitymedian $1,995 · 10th–90th $1,514$7,0790%10%20%10th90th$1,995Professionalmedian $1,622 · 10th–90th $1,288$2,3990%20%10th90th$1,622$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,479.11
Typical High
$2,344.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,041.74
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,365.16
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,659.59
Typical High
$2,630.27