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Jaw Wiring For A Non-Fracture Condition

Massachusetts 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 $1,905 · 10th–90th $724$4,4670%10%10th90th$1,905Professionalmedian $871 · 10th–90th $575$1,9050%10%10th90th$871$100.0$500.0$2.0K$10.0K$50.0K

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
$724.44
Median
$2,754.23
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,819.70
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,754.23
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$2,511.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$977.24
Typical High
$1,949.84
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$3,467.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,380.38
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$1,862.09
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,754.23
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,071.52
Typical High
$1,995.26