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Midface Reconstruction of the Upper Jaw and Nose

Wisconsin 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 $10,233 · 10th–90th $4,571$16,9820%5%10%10th90th$10,233Professionalmedian $2,692 · 10th–90th $1,660$8,1280%10%20%10th90th$2,692$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
$1,778.28
Median
$3,715.35
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,819.70
Typical High
$4,466.84
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
$1,778.28
Median
$3,715.35
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,495.41
Typical High
$8,709.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$7,244.36
Typical High
$8,317.64
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,073.80
Typical High
$10,232.93
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,265.80
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,890.45
Typical High
$13,489.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,548.13
Typical High
$18,197.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$4,466.84
Typical High
$7,585.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,715.35
Typical High
$5,495.41
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$16,595.87
Typical High
$16,595.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$8,709.64
Typical High
$18,197.01
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$10,000.00
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,022.64
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,818.38
Typical High
$7,413.10