go back

Jaw Wiring For A Non-Fracture Condition

Hawaii rates for HCPCS 21497

This procedure wires the upper and lower teeth together to hold the jaw in a fixed position for a reason other than a broken jaw. It is used, for example, to stabilize the jaw after certain corrective jaw surgery or to keep it immobile for a period of healing when no fracture is present.

Rates data updated July 2026.

Facilitymedian $3,890 · 10th–90th $1,148$3,8900%50%10th$3,890Professionalmedian $1,698 · 10th–90th $575$5,2480%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
$1,148.15
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,148.15
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,000.00
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$2,041.74
Typical High
$5,370.32