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Midface Reconstruction With Bone Grafting

Wisconsin 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 $10,233 · 10th–90th $4,365$16,9820%10%10th90th$10,233Professionalmedian $2,512 · 10th–90th $1,585$7,5860%20%10th90th$2,512$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
$1,698.24
Median
$6,309.57
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,698.24
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,467.37
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,248.07
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$6,918.31
Typical High
$7,943.28
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$10,232.93
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,073.80
Typical High
$5,248.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$13,489.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,235.94
Typical High
$15,135.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,244.36
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,630.78
Typical High
$5,370.32
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$15,488.17
Typical High
$15,488.17
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$8,511.38
Typical High
$15,135.61
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$9,549.93
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,022.64
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$7,079.46