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Midface Reconstruction With Bone Grafting

South Dakota 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.

Rates data updated July 2026.

Facilitymedian $2,884 · 10th–90th $2,042$4,4670%10%20%10th90th$2,884Professionalmedian $2,884 · 10th–90th $1,445$5,0120%10%10th90th$2,884$2.0K$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,981.07
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,754.23
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$15,135.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,073.80
Typical High
$4,073.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,715.35
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,630.27
Typical High
$4,677.35
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,311.31
Typical High
$3,890.45