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Putting A Dislocated Jaw Back In Place

Kentucky rates for HCPCS 21480

Treats a lower jaw that has slipped out of its socket in front of the ear. The clinician places their thumbs inside the mouth on the back teeth and presses down and back until the joint returns to position, with no incision. It covers a first dislocation and also repeat episodes in someone whose jaw comes out often.

Rates data updated July 2026.

Facilitymedian $1,698 · 10th–90th $55$2,9510%5%10%10th90th$1,698$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$40.74
Median
$223.87
Typical High
$3,890.45
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$50.12
Median
$50.12
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$39.81
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84