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Jaw Wiring For A Non-Fracture Condition

Illinois 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 $1,585 · 10th–90th $603$5,6230%5%10th90th$1,585Professionalmedian $741 · 10th–90th $537$1,4790%10%10th90th$741$50.0$200.0$1.0K$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
$575.44
Median
$1,479.11
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,288.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,023.29
Typical High
$3,311.31
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$77.62
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,137.96
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,258.93