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Surgical Repair of a Broken Upper Jaw

Wyoming rates for HCPCS 21422

Surgery to repair a break running across the upper jaw that separates the tooth-bearing part of the face from the bone above it. The surgeon exposes the fracture, moves the jaw back to its correct position against the rest of the face, and secures it so the teeth meet properly while healing. Restoring the bite is the main aim.

Rates data updated July 2026.

How much does Surgical Repair of a Broken Upper Jaw cost?

$977

Typical physician fee. In Wyoming, July 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $631 to $1,820.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $5,012 to $18,621Professionalmedian $891 · 10th to 90th $631 to $2,188
$1.0K$2.0K$5.0K$10.0Kfacility $5,129professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,230.27
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$12,022.64
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$2,630.27

Where Wyoming sits

The same service costs 10.2 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wyoming $977 · 25th of 51
CA $6,457DE $631

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.