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Complex Open Repair of an Upper Jaw Fracture

New York 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 $5,623 · 10th–90th $1,230$12,0230%10%10th90th$5,623Professionalmedian $912 · 10th–90th $724$2,1880%20%10th90th$912$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
$4,168.69
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$912.01
Typical High
$2,089.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,995.26
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,348.96
Typical High
$50,118.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$3,630.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$2,818.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,174.90
Typical High
$1,659.59
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,659.59
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,023.29
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$3,235.94
Univera
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$3,715.35
Univera
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$2,398.83