go back

Midface Reconstruction of the Upper Jaw and Nose

Missouri 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 $4,169 · 10th–90th $1,738$8,5110%10%10th90th$4,169Professionalmedian $1,950 · 10th–90th $1,479$4,3650%10%20%10th90th$1,950$100.0$500.0$2.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$4,073.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,819.70
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,995.26
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$3,548.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,344.23
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,344.23
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,981.07
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,995.26
Typical High
$3,162.28