Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft
Low
$1.4k
Average
$6.4k
Median
$6.2k
High
$15.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 3.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +23 other terms | 437 | $9.3k | $9.1k | $4.7k | 52% | — | $1 – $36.5k |
| 2 | Aetna fee schedule · outpatient · +23 other terms | 423 | $6.3k | $7.5k | $5.3k | 71% | — | $79 – $48.0k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 329 | $7.6k | $13.4k | $10.3k | 77% | — | $0 – $49.6k |
| 4 | Humana fee schedule · outpatient · +20 other terms | 290 | $6.0k | $6.0k | $2.0k | 34% | — | $466 – $17.1k |
| 5 | Cigna case rate · outpatient · +20 other terms | 231 | $7.2k | $12.1k | $8.5k | 70% | — | $1 – $40.7k |
| 6 | WellCare fee schedule · outpatient · +13 other terms | 139 | $6.1k | $6.5k | $2.0k | 30% | — | $230 – $13.9k |
| 7 | Molina fee schedule · outpatient · +13 other terms | 135 | $6.0k | $6.1k | $3.6k | 60% | — | $23 – $13.7k |
| 8 | Anthem fee schedule · outpatient · +18 other terms | 124 | $5.8k | $6.3k | $7.0k | 111% | — | $500 – $43.3k |
| 9 | Kaiser fee schedule · outpatient · +10 other terms | 94 | $7.5k | $9.4k | $7.2k | 77% | — | $1.2k – $42.0k |
| 10 | Devoted fee schedule · outpatient · +7 other terms | 68 | $6.0k | $5.5k | $1.5k | 28% | — | $1.3k – $6.7k |
| 11 | Oscar case rate · outpatient · +14 other terms | 65 | $5.4k | $4.7k | $1.7k | 36% | — | $3.3k – $9.2k |
| 12 | Ambetter facility · fee schedule · outpatient · +8 other terms | 58 | $10.1k | $10.2k | $2.6k | 26% | — | $1.9k – $14.3k |
| 13 | Healthcare Highways case rate · outpatient · +1 other terms | 53 | $5.8k | $8.0k | $5.0k | 62% | — | $2.1k – $14.6k |
| 14 | Optum fee schedule · outpatient · +11 other terms | 41 | $5.4k | $6.1k | $5.0k | 83% | — | $1.3k – $21.9k |
| 15 | Superior Healthplan case rate · outpatient · +3 other terms | 38 | $948 | $1.2k | $1.4k | 116% | — | $929 – $8.9k |
| 16 | Caresource fee schedule · outpatient · +10 other terms | 34 | $9.0k | $10.7k | $2.8k | 26% | — | $5.7k – $13.1k |
| 17 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $2.8k | $2.8k | $1.5k | 53% | — | $1.1k – $6.1k |
| 18 | Clover fee schedule · outpatient · +6 other terms | 31 | $6.5k | $6.3k | $402 | 6% | — | $5.3k – $7.0k |
| 19 | Medica case rate · outpatient · +9 other terms | 28 | $4.0k | $5.0k | $2.2k | 45% | — | $1.6k – $10.6k |
| 20 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $6.6k | $6.9k | $2.2k | 32% | — | $3.1k – $13.7k |
| 21 | Tricare other · outpatient · +8 other terms | 25 | $5.4k | $10.2k | $8.1k | 79% | — | $492 – $21.3k |
| 22 | Medicare fee schedule · outpatient · +11 other terms | 24 | $1.3k | $2.3k | $1.8k | 82% | — | $1.2k – $5.9k |
| 23 | Regence professional · fee schedule · outpatient · +10 other terms | 20 | $564 | $617 | $481 | 78% | — | $212 – $2.7k |
| 24 | First Health fee schedule · outpatient · +16 other terms | 19 | $6.3k | $9.2k | $4.8k | 53% | — | $1.3k – $16.3k |
| 25 | Medical Mutual fee schedule · outpatient · +7 other terms | 17 | $18.9k | $18.7k | $8.3k | 45% | — | $5.1k – $31.3k |
← Hospitals reporting CPT 21142 · Snapshot 20261112T181611Z-3fa9fb76