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Midface Reconstruction With Bone Cuts And Grafts

Florida rates for HCPCS 21188

Rebuilds the middle of the face, meaning the cheeks, upper jaw, and the bones around the nose and eye sockets, by cutting the bone into segments, moving them into a better position, and adding grafts of the patient's own bone. It is used when these bones are underdeveloped, sunken, or distorted after an injury, a birth difference, or earlier surgery. The bone cuts are planned around the individual face rather than following one of the standard patterns.

Facilitymedian $6,457 · 10th–90th $1,514$13,1830%10%10th90th$6,457Professionalmedian $1,622 · 10th–90th $1,318$2,7540%20%10th90th$1,622$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
$1,445.44
Median
$5,495.41
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,754.23
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$6,165.95
Typical High
$12,882.50
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,995.26
Typical High
$3,235.94
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$13,489.63
Typical High
$23,988.33
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$9,549.93
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$3,090.30
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,621.81