Rates by insurance carrier
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Vermont 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.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
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