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Open Repair of a Broken Jaw With the Teeth Fastened

Wisconsin rates for HCPCS 21462

Surgery that exposes a break in the lower jaw and holds the pieces with plates and screws, while wires or elastics also fasten the upper and lower teeth against each other. Setting the teeth into their normal bite guides the jaw bones into exactly the right position as they heal. Diet is restricted for as long as the teeth are held together.

Rates data updated July 2026.

Facilitymedian $9,772 · 10th–90th $1,995$16,9820%5%10%10th90th$9,772Professionalmedian $3,802 · 10th–90th $2,138$6,7610%10%10th90th$3,802$1.0K$2.0K$5.0K$10.0K$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
$1,174.90
Median
$4,265.80
Typical High
$9,332.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$6,165.95
Typical High
$9,772.37
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,344.23
Typical High
$6,309.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,398.83
Typical High
$13,182.57
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$9,332.54
Typical High
$15,848.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,949.84
Typical High
$4,073.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,801.89
Typical High
$6,760.83
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$15,135.61
Typical High
$21,877.62
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$12,302.69
Typical High
$15,848.93