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Upper Jaw Repositioning Surgery, Single Piece

Montana rates for HCPCS 21141

This is a surgery to reposition the upper jaw as a single piece to correct facial structure or bite problems, such as those causing an elongated or recessed midface appearance. It does not require adding bone graft material to support the new position.

Rates data updated July 2026.

Facilitymedian $2,291 · 10th–90th $1,778$8,1280%50%10th90th$2,291Professionalmedian $1,905 · 10th–90th $1,175$7,2440%20%10th90th$1,905$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$7,244.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$2,290.87
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,344.23
Typical High
$2,570.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,344.23
Typical High
$2,570.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,949.84
Typical High
$2,818.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,862.09
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,238.72
Typical High
$2,570.40