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Midface Reconstruction of the Upper Jaw and Nose

Illinois rates for HCPCS 21151

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.

Facilitymedian $3,890 · 10th–90th $1,288$9,7720%10%10th90th$3,890Professionalmedian $2,138 · 10th–90th $1,622$4,0740%20%10th90th$2,138$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
$1,202.26
Median
$3,548.13
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$9,120.11
Typical High
$39,810.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,570.40
Typical High
$3,890.45
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,019.95
Typical High
$8,709.64
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,290.87
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,370.32
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$3,715.35