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Midface Advancement With Bone Grafts

Iowa rates for HCPCS 21154

Reconstructive surgery in which the bones of the midface, including the cheekbones and the upper jaw, are cut free and moved forward as a single unit, with bone grafts placed to fill the gaps this creates. The forehead is not moved, and the tooth-bearing jaw is not separately repositioned.

Facilitymedian $4,786 · 10th–90th $3,090$10,9650%10%10th90th$4,786Professionalmedian $2,239 · 10th–90th $1,778$5,1290%10%20%10th90th$2,239$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
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,786.30
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,137.96
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$5,495.41
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$6,918.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,677.35
Typical High
$11,481.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,890.45
Typical High
$19,498.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,786.30
Typical High
$5,248.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,964.78
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,951.21
Typical High
$5,495.41
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,715.35
Typical High
$4,365.16