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Midface Reconstruction of the Upper Jaw and Nose

Wisconsin 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 $10,000 · 10th–90th $3,548$16,9820%5%10%10th90th$10,000Professionalmedian $3,311 · 10th–90th $1,622$7,9430%10%10th90th$3,311$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
$1,621.81
Median
$3,311.31
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,659.59
Typical High
$6,918.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$3,311.31
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$6,606.93
Typical High
$7,585.78
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,388.44
Typical High
$7,244.36
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,890.45
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,548.13
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,019.95
Typical High
$16,218.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,890.45
Typical High
$6,918.31
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,238.72
Typical High
$4,168.69
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$5,011.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$14,791.08
Typical High
$21,379.62
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$7,943.28
Typical High
$16,982.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$9,120.11
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$12,302.69
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,511.89
Typical High
$6,760.83