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Midface Reconstruction of the Upper Jaw and Nose

Montana 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 $2,818 · 10th–90th $2,188$3,4670%50%10th90th$2,818Professionalmedian $2,291 · 10th–90th $1,514$4,3650%20%10th90th$2,291$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,290.87
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$2,818.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,818.38
Typical High
$3,467.37
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,818.38
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,454.71
Typical High
$3,467.37
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,290.87
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,691.53
Typical High
$3,235.94