Medical Procedure Costs

21147

Rcnstj mdfc lefort i 3/>grf

Surgery - Musculoskeletal

$1,525

—

21150

Rcnstj mdfc lefrtii ant ntru

Surgery - Musculoskeletal

$1,415

—

21151

Rcnstj mdfc lefrtii w/b1 grf

Surgery - Musculoskeletal

$1,554

—

21154

Rcnstj mdfc lefort iii w/o i

Surgery - Musculoskeletal

$1,674

—

21155

Rcnstj mdfc lefort iii w/i

Surgery - Musculoskeletal

$1,851

—

21159

Rcnst mdfc lfrtiii advm wo i

Surgery - Musculoskeletal

$2,210

—

21160

Rcnst mdfc lfrtiii advm w/i

Surgery - Musculoskeletal

$2,393

—

21172

Rcnst supr-lat orb rm&lw fhd

Surgery - Musculoskeletal

$2,089

—

21175

Rcnst bfrnt sp orb rm&lw fhd

Surgery - Musculoskeletal

$1,932

—

21179

Rcnstj forehead with grafts

Surgery - Musculoskeletal

$1,343

—

21180

Rcnstj forehead w/autograft

Surgery - Musculoskeletal

$1,496

—

21181

Rcnst cntrg b9 tum crnl xtrc

Surgery - Musculoskeletal

$673

—

21182

Reconstruct cranial bone

Surgery - Musculoskeletal

$1,849

—

21183

Reconstruct cranial bone

Surgery - Musculoskeletal

$2,007

—

21184

Reconstruct cranial bone

Surgery - Musculoskeletal

$2,154

—

21188

Reconstruction of midface

Surgery - Musculoskeletal

$1,429

—

21193

Reconst lwr jaw w/o graft

Surgery - Musculoskeletal

$1,109

—

21194

Reconst lwr jaw w/graft

Surgery - Musculoskeletal

$1,280

—

21195

Reconst lwr jaw w/o fixation

Surgery - Musculoskeletal

$1,217

—

21196

Reconst lwr jaw w/fixation

Surgery - Musculoskeletal

$1,297

—

21198

Reconstr lwr jaw segment

Surgery - Musculoskeletal

$909

—

21199

Reconstr lwr jaw w/advance

Surgery - Musculoskeletal

$906

—

21206

Reconstruct upper jaw bone

Surgery - Musculoskeletal

$873

—

21208

Augmentation of facial bones

Surgery - Musculoskeletal

$671

—

21209

Reduction of facial bones

Surgery - Musculoskeletal

$553

—

21210

Face bone graft

Surgery - Musculoskeletal

$693

—

21215

Lower jaw bone graft

Surgery - Musculoskeletal

$720

—

21230

Rib cartilage graft

Surgery - Musculoskeletal

$660

—

21235

Ear cartilage graft

Surgery - Musculoskeletal

$506

—

21240

Reconstruction of jaw joint

Surgery - Musculoskeletal

$944

—

21242

Reconstruction of jaw joint

Surgery - Musculoskeletal

$923

—

21243

Reconstruction of jaw joint

Surgery - Musculoskeletal

$1,456

—

21244

Reconstruction of lower jaw

Surgery - Musculoskeletal

$897

—

21245

Reconstruction of jaw

Surgery - Musculoskeletal

$867

—

21246

Reconstruction of jaw

Surgery - Musculoskeletal

$768

—

21247

Reconstruct lower jaw bone

Surgery - Musculoskeletal

$1,419

—

21248

Reconstruction of jaw

Surgery - Musculoskeletal

$725

—

21249

Reconstruction of jaw

Surgery - Musculoskeletal

$1,010

—

21255

Reconstruct lower jaw bone

Surgery - Musculoskeletal

$1,221

—

21256

Reconstruction of orbit

Surgery - Musculoskeletal

$1,115

—

21260

Revise eye sockets

Surgery - Musculoskeletal

$1,252

—

21261

Revise eye sockets

Surgery - Musculoskeletal

$2,176

—

21263

Revise eye sockets

Surgery - Musculoskeletal

$2,021

—

21267

Revise eye sockets

Surgery - Musculoskeletal

$1,467

—

21268

Revise eye sockets

Surgery - Musculoskeletal

$1,821

—

21270

Augmentation cheek bone

Surgery - Musculoskeletal

$675

—

21275

Revision orbitofacial bones

Surgery - Musculoskeletal

$764

—

21280

Medial canthopexy

Surgery - Musculoskeletal

$524

—

21282

Lateral canthopexy

Surgery - Musculoskeletal

$369

—

21295

Revision of jaw muscle/bone

Surgery - Musculoskeletal

$185

—

My Cost List