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Jaw Wiring For A Non-Fracture Condition

Michigan 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 $2,884 · 10th–90th $871$4,8980%20%10th90th$2,884Professionalmedian $724 · 10th–90th $537$9770%10%10th90th$724$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$758.58
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$870.96
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,202.26
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,884.03
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,691.53
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,000.00