go back

Jaw Wiring For A Non-Fracture Condition

Utah 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 $3,236 · 10th–90th $794$4,8980%10%10th90th$3,236Professionalmedian $912 · 10th–90th $550$3,3880%10%10th90th$912$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
$794.33
Median
$3,388.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$933.25
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,659.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$4,466.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$1,548.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$1,412.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,071.52