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Nonsurgical Repair of an Upper Jaw Fracture

Missouri rates for HCPCS 21421

Treatment of a broken upper jaw or palate without opening the face. The jaw is guided back into its correct position and held there by wiring the upper and lower teeth together, or by fixing a splint or a denture in place, until the bone heals.

Facilitymedian $4,074 · 10th–90th $933$8,5110%5%10%10th90th$4,074Professionalmedian $692 · 10th–90th $513$1,3800%10%10th90th$692$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$676.08
Median
$4,265.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$912.01
Typical High
$4,365.16
Medica
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,047.13
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,630.27
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,148.15