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Midface Reconstruction of the Upper Jaw and Nose

Hawaii 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 $5,495 · 10th–90th $1,950$5,4950%50%10th$5,495Professionalmedian $2,138 · 10th–90th $1,445$2,8180%20%10th90th$2,138$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,949.84
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,659.59
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$2,454.71
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,570.40
Typical High
$2,818.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,698.24
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,089.30
Typical High
$2,454.71
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$1,479.11
Typical High
$2,884.03