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Broken Jaw Wired Without Surgery

Rhode Island rates for HCPCS 21453

Treats a broken lower jaw without opening the skin, by moving the pieces back into position and then fastening the upper and lower teeth together so the jaw is held still while it heals. Arch bars, wires or elastic bands hold the bite in the right alignment. Food is taken as liquids or soft blended meals until the fastening is released.

Rates data updated July 2026.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $3,236 to $13,183
$5.0K$10.0Kfacility $6,026

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,413.10
Typical High
$13,182.57