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Broken Lower Jaw Treated Without Repositioning

Washington rates for HCPCS 21450

Manages a fracture of the lower jaw whose pieces already sit in an acceptable position, so nothing is manipulated back into place and nothing is held with wires or hardware. Care is supportive — pain relief, a soft or liquid diet, limits on how the jaw is used — with follow-up to confirm the bone is staying put and healing. Wiring the jaw shut, or any surgical fixation, is a different treatment.

Rates data updated July 2026.

Facilitymedian $1,072 · 10th–90th $537$6,4570%5%10%10th90th$1,072Professionalmedian $851 · 10th–90th $501$1,5490%5%10%10th90th$851$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
$831.76
Median
$1,698.24
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,621.81
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$3,019.95
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$891.25
Typical High
$1,659.59
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$851.14
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$257.04
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$1,202.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$812.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$1,479.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,548.82
Typical High
$2,951.21
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,698.24
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$812.83
Typical High
$1,513.56
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,023.29