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Midface Reconstruction of the Upper Jaw and Nose

Indiana 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 $15,136 · 10th–90th $2,512$25,7040%10%10th90th$15,136Professionalmedian $1,698 · 10th–90th $1,413$3,0900%20%10th90th$1,698$500.0$1.0K$2.0K$5.0K$10.0K$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
$1,380.38
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$17,378.01
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,041.74
Typical High
$3,162.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,995.26
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,862.09
Typical High
$3,090.30