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Midface Reconstruction With Bone Grafting

New Jersey rates for HCPCS 21147

A major craniofacial surgery that repositions the upper jaw and midface bones, cut and moved as three or more separate pieces, to correct a significant facial skeletal deformity or misalignment. The surgery includes taking bone graft material, often from elsewhere in the patient's own body, to support the repositioned bone segments. It is a more extensive version of midface repositioning surgery, used when the correction requires multiple independently moved bone segments.

Facilitymedian $7,586 · 10th–90th $4,467$11,7490%10%10th90th$7,586Professionalmedian $1,778 · 10th–90th $1,445$6,0260%20%10th90th$1,778$100.0$500.0$2.0K$10.0K

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
$4,466.84
Median
$7,585.78
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,344.23
Typical High
$5,370.32
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$2,570.40
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,595.87
Typical High
$30,902.95
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,995.26
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$4,168.69