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Complex Open Repair of an Upper Jaw Fracture

Hawaii 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.

Facilitymedian $5,495 · 10th–90th $1,950$5,4950%50%10th$5,495Professionalmedian $871 · 10th–90th $741$1,3800%20%10th90th$871$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,949.84
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,202.26
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,174.90
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$891.25
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$1,202.26
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$812.83
Typical High
$1,096.48