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Jaw Wiring For A Non-Fracture Condition

Washington 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 $1,380 · 10th–90th $741$6,4570%5%10%10th90th$1,380Professionalmedian $1,047 · 10th–90th $603$1,8200%5%10%10th90th$1,047$50.0$200.0$1.0K$5.0K$20.0K

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
$977.24
Median
$1,905.46
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$977.24
Typical High
$1,905.46
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,677.35
Typical High
$8,317.64
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,288.25
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,096.48
Typical High
$1,995.26
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,071.52
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$316.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,412.54
Typical High
$1,445.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$1,778.28
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,466.84
Typical High
$8,317.64
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,288.25
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$4,786.30
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,819.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$1,258.93