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Complex Open Repair of an Upper Jaw Fracture

South Carolina 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 $9,120 · 10th–90th $912$18,1970%10%10th90th$9,120Professionalmedian $912 · 10th–90th $676$1,7380%10%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
$2,089.30
Median
$10,471.29
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,737.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$7,585.78
Typical High
$14,454.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$14,454.40
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,288.25