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Jaw Wiring For A Non-Fracture Condition

Wisconsin 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 $3,802 · 10th–90th $832$6,9180%5%10%10th90th$3,802Professionalmedian $1,259 · 10th–90th $603$3,0900%5%10%10th90th$1,259$50.0$200.0$1.0K$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
$1,230.27
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,230.27
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,311.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,047.13
Typical High
$3,548.13
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,479.11
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,122.02
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,445.44
Typical High
$5,248.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$812.83
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,890.45
Typical High
$4,570.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,737.80
Typical High
$2,691.53
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$1,479.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,698.24
Typical High
$2,344.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,570.40
Typical High
$3,801.89
Quartz
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$3,311.31
Typical High
$5,128.61
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,801.89
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,000.00
Typical High
$2,630.27