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Complex Open Repair of an Upper Jaw Fracture

Arkansas rates for HCPCS 21423

A surgery performed through an open incision to repair a fracture across the upper jaw, at the level where it separates the tooth-bearing bone from the rest of the face, in a case that is more complicated than usual, such as a fracture with many bone fragments or one that involves nerve pathways through the bone. The surgeon directly accesses and realigns the broken bone. It is used for a more complex version of this specific level of midface fracture rather than a straightforward break.

Rates data updated July 2026.

How much does Complex Open Repair of an Upper Jaw Fracture cost?

$977

Typical physician fee. In Arkansas, July 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $832 to $1,175.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $977 to $3,802Professionalmedian $955 · 10th to 90th $692 to $1,175
$1K$2K$5K$10Kfacility $1,698professional $955

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,122.02
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,168.69
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,445.44

Where Arkansas sits

The same service costs 7.8 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arkansas· 38th of 51

$977

CA $6,166KY $794

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.