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Jaw Bone Cutting To Reposition The Back Of The Jaw

Michigan rates for HCPCS 21193

This surgery reshapes the back portion of the lower jaw, near the jaw joint, by cutting through the bone and moving it into a new position to correct a misaligned bite or jaw deformity. The bone is repositioned and secured without adding donor or synthetic bone to fill any gap. It is typically performed as part of planned jaw realignment surgery.

Rates data updated July 2026.

Facilitymedian $5,754 · 10th–90th $1,622$8,1280%20%10th90th$5,754Professionalmedian $1,445 · 10th–90th $1,096$1,9500%10%20%10th90th$1,445$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
$1,548.82
Median
$5,754.40
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,258.93
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,698.24
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,513.56
Typical High
$4,168.69
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,943.28
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$1,949.84