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Complex Open Repair of an Upper Jaw Fracture

New Mexico 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 $1,175 · 10th–90th $871$7,7620%20%10th90th$1,175Professionalmedian $832 · 10th–90th $741$1,4130%20%10th90th$832$50.0$200.0$1.0K$5.0K$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
$1,122.02
Median
$1,174.90
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$2,691.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$1,659.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,220.18
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,548.82