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Open Repair Of A Severe Midface Fracture

Maine rates for HCPCS 21347

This surgery realigns and stabilizes a severe fracture of the midface bones around the nose and upper jaw, using more than one surgical access point to fully reach and repair the break. Wiring or other fixation is used to hold the bones in their corrected position while they heal. It is used for more complex midface fractures that cannot be adequately reached and repaired through a single incision.

Rates data updated July 2026.

How much does Open Repair Of A Severe Midface Fracture cost?

$1,230

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $1,122 to $1,514.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $12,023 · 10th to 90th $12,023 to $12,023Professionalmedian $1,230 · 10th to 90th $1,023 to $1,995
$1.0K$2.0K$5.0K$10.0Kfacility $12,023professional $1,230

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,479.11
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$2,344.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$2,630.27
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$2,089.30

Where Maine sits

The same service costs 6.3 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $1,230 · 40th of 51
CA $6,607DE $1,047

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.