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Midface Reconstruction of the Upper Jaw and Nose

Idaho 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 $4,467 · 10th–90th $1,698$15,1360%5%10th90th$4,467Professionalmedian $2,455 · 10th–90th $1,660$3,3880%10%20%10th90th$2,455$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
$3,388.44
Median
$4,466.84
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$7,244.36
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,187.76
Typical High
$2,884.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,290.87
Typical High
$4,168.69
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,691.53
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,162.28
Typical High
$3,548.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$7,585.78
Typical High
$12,302.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,511.89
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$12,022.64
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,454.71
Typical High
$3,388.44