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Jaw Reconstruction With Bone Graft

Massachusetts rates for HCPCS 21194

Surgical reshaping and repositioning of the back portion of the lower jawbone, using a bone graft to help support healing and restore proper shape and alignment. It is typically performed to correct significant jaw deformities or improve how the upper and lower jaws fit together.

Rates data updated July 2026.

Facilitymedian $3,548 · 10th–90th $1,445$7,7620%10%10th90th$3,548Professionalmedian $1,820 · 10th–90th $1,318$3,8020%10%20%10th90th$1,820$100.0$500.0$2.0K$10.0K$50.0K

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
$1,949.84
Median
$3,630.78
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$3,801.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,265.80
Typical High
$16,595.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,089.30
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,137.96
Typical High
$3,981.07
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$2,454.71
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,344.23
Typical High
$3,388.44
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,265.80
Typical High
$16,595.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,089.30
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,344.23
Typical High
$3,981.07