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Jaw Wiring For A Non-Fracture Condition

South Dakota 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 $1,122 · 10th–90th $708$3,0900%10%10th90th$1,122Professionalmedian $1,148 · 10th–90th $603$1,7780%10%10th90th$1,148$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
$588.84
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,698.24
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,584.89
Typical High
$5,248.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,148.15
Typical High
$1,862.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$1,819.70