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Complex Open Repair of an Upper Jaw Fracture

Wyoming 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 $12,023 · 10th–90th $5,129$18,6210%20%40%10th90th$12,023Professionalmedian $1,514 · 10th–90th $776$2,7540%20%10th90th$1,514$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,290.87
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$12,022.64
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,548.82
Typical High
$2,754.23