{"procedure":{"code_type":"CPT","code":"21255","lay_name":"Rebuilding cheekbone arch and jaw joint socket with graft","blurb":"Surgical reconstruction of the cheekbone arch and the socket of the jaw joint using the patient's own bone and cartilage grafts, which are harvested during the same operation.","slug":"cpt-21255-rebuilding-cheekbone-arch-and-jaw-joint-socket-with-graft","description":"Rcnstj Zygmtc Arch/Glenoid Fossa W/Bone Cartlg","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"161","label":"Other OR therapeutic procedures on bone","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:50:31.523775Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-05","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":156,"n_usable":144,"n_not_usable":1,"n_labelled":10,"n_no_cash":1,"n_estimated":0,"n_states":33,"cash_p10":1032.15,"cash_p20":1613.56,"cash_p25":2169.65,"cash_p50":4067.7,"cash_p75":7000.36,"cash_p80":7026.75,"cash_p90":8139.99,"cash_mean_trimmed":4272.81,"gross_p50":3714.0,"cash_to_gross_p50":0.6,"medicare_rate":6048.05,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.6726,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":2,"p20":null,"p50":null,"p80":null},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":3,"p20":null,"p50":null,"p80":null},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MN","n":2,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":22,"p20":4881.0,"p50":6311.0,"p80":6553.49},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":19,"p20":4241.64,"p50":7000.36,"p80":7026.75},{"state":"OH","n":7,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":2177.0,"p50":2177.0,"p80":2177.0},{"state":"PA","n":16,"p20":817.08,"p50":965.64,"p80":10001.37},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":5,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WI","n":2,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":130,"p20":1613.56,"p50":4331.25,"p80":7264.49},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":6,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":18,"p20":null,"p50":null,"p80":null},{"key":"government","n":25,"p20":2215.45,"p50":4067.7,"p80":7000.36},{"key":"nonprofit","n":101,"p20":1709.36,"p50":4241.64,"p80":7000.36}],"affiliation":[{"key":"affiliated","n":109,"p20":1613.56,"p50":4350.0,"p80":7000.36},{"key":"independent","n":35,"p20":1566.7,"p50":3171.0,"p80":7659.27}]},"histogram":[{"lo":854.22,"hi":1104.41,"n":11},{"lo":1104.41,"hi":1427.87,"n":4},{"lo":1427.87,"hi":1846.07,"n":10},{"lo":1846.07,"hi":2386.76,"n":19},{"lo":2386.76,"hi":3085.8,"n":12},{"lo":3085.8,"hi":3989.59,"n":8},{"lo":3989.59,"hi":5158.08,"n":14},{"lo":5158.08,"hi":6668.8,"n":17},{"lo":6668.8,"hi":8621.98,"n":30},{"lo":8621.98,"hi":11147.23,"n":5}],"previous":null},"inpatient":null},"related":[{"code_type":"CPT","code":"20680","lay_name":"Removal of a deeply placed plate, rod, screw, or nail","slug":"cpt-20680-removal-of-a-deeply-placed-plate-rod-screw-or-nail"},{"code_type":"CPT","code":"20670","lay_name":"Removal of a pin, wire, or screw just under the skin","slug":"cpt-20670-removal-of-a-pin-wire-or-screw-just-under-the-skin"},{"code_type":"CPT","code":"28308","lay_name":"Cutting a long foot bone other than the first, each bone","slug":"cpt-28308-cutting-a-long-foot-bone-other-than-the-first-each-bone"},{"code_type":"CPT","code":"20694","lay_name":"Removal of an external bone fixator under anesthesia","slug":"cpt-20694-removal-of-an-external-bone-fixator-under-anesthesia"},{"code_type":"CPT","code":"20615","lay_name":"Draining and injecting a bone cyst","slug":"cpt-20615-draining-and-injecting-a-bone-cyst"},{"code_type":"CPT","code":"28315","lay_name":"Removal of a small sesamoid bone under the big toe","slug":"cpt-28315-removal-of-a-small-sesamoid-bone-under-the-big-toe"},{"code_type":"CPT","code":"28300","lay_name":"Cutting and realigning the heel bone","slug":"cpt-28300-cutting-and-realigning-the-heel-bone"},{"code_type":"CPT","code":"20690","lay_name":"Applying a single-plane external bone fixator","slug":"cpt-20690-applying-a-single-plane-external-bone-fixator"},{"code_type":"CPT","code":"20900","lay_name":"Small bone graft taken from the patient's own body","slug":"cpt-20900-small-bone-graft-taken-from-the-patient-s-own-body"},{"code_type":"CPT","code":"20692","lay_name":"Applying a multi-plane external bone fixator","slug":"cpt-20692-applying-a-multi-plane-external-bone-fixator"},{"code_type":"CPT","code":"28306","lay_name":"Cutting and realigning the first long foot bone","slug":"cpt-28306-cutting-and-realigning-the-first-long-foot-bone"},{"code_type":"CPT","code":"28005","lay_name":"Opening a foot bone to treat infection","slug":"cpt-28005-opening-a-foot-bone-to-treat-infection"}]}