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Midface Reconstruction of the Upper Jaw and Nose

Alaska rates for HCPCS 21150

Reconstructive surgery that repositions the bones of the middle of the face — the upper jaw and the area around the nose — to correct a deformity or a jaw that does not line up with the rest of the face. The bones are cut in a planned pattern, moved into their corrected position, and held there while they heal.

Rates data updated July 2026.

Facilitymedian $3,020 · 10th–90th $1,698$11,7490%5%10%10th90th$3,020Professionalmedian $4,266 · 10th–90th $1,549$8,7100%20%10th90th$4,266$100.0$200.0$500.0$1.0K$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
$5,011.87
Median
$9,772.37
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$5,495.41
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,454.71
Typical High
$8,912.51
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$8,317.64
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$9,549.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,454.71
Typical High
$8,912.51
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$2,290.87
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$4,466.84
Typical High
$9,772.37