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Midface Advancement With Bone Grafts

Washington 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 $4,677 · 10th–90th $2,455$19,4980%10%20%10th90th$4,677Professionalmedian $2,754 · 10th–90th $1,738$5,0120%10%20%10th90th$2,754$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
$3,630.78
Median
$8,128.31
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,398.83
Typical High
$4,786.30
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$14,791.08
Typical High
$28,840.32
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,801.89
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,311.31
Typical High
$5,888.44
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$9,120.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,890.45
Typical High
$6,918.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$123.03
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,715.35
Typical High
$3,890.45
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,691.53
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,890.45
Typical High
$5,128.61
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$14,791.08
Typical High
$28,840.32
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,801.89
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$17,378.01
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,884.03
Typical High
$5,128.61
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$3,467.37