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Midface Reconstruction of the Upper Jaw and Nose

South Carolina 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 $10,471 · 10th–90th $1,905$21,8780%10%10th90th$10,471Professionalmedian $1,905 · 10th–90th $1,413$3,9810%20%40%10th90th$1,905$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
$1,905.46
Median
$12,022.64
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,905.46
Typical High
$4,168.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$11,220.18
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,290.87
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$3,801.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$2,884.03