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Midface Reconstruction With Bone Grafting

Washington 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 $4,365 · 10th–90th $2,188$20,8930%10%10th90th$4,365Professionalmedian $2,344 · 10th–90th $1,514$4,4670%10%20%10th90th$2,344$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
$3,162.28
Median
$8,128.31
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,949.84
Typical High
$4,265.80
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$14,125.38
Typical High
$28,840.32
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,818.38
Typical High
$5,128.61
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$9,120.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,467.37
Typical High
$6,918.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$109.65
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,311.31
Typical High
$3,388.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,344.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,388.44
Typical High
$4,466.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$14,791.08
Typical High
$28,840.32
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$17,378.01
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$4,466.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,778.28
Typical High
$3,162.28