SHA Maxillofacial Surgery Tariffs: All 64 Procedures & Prices
SHA maxillofacial surgery tariffs cover 64 procedures, from a KES 28,000 diagnostic biopsy to a KES 392,000 panfacial fracture repair or craniofacial reconstruction. This specialty covers facial trauma, jaw reconstruction, cleft lip/palate repair, and TMJ surgery. Below is every tariff, grouped by procedure type.
- 1. Facial Fracture & Trauma Surgery (10)
- 2. Mandible & Maxilla Reconstruction (10)
- 3. Cleft Lip & Palate Surgery (8)
- 4. Facial Soft Tissue, Scar & Nasal Surgery (8)
- 5. Tumour & Cyst Excision (7)
- 6. Craniofacial & Miscellaneous Surgery (7)
- 7. Salivary Gland Surgery (6)
- 8. TMJ & Joint Surgery (5)
- 9. Nerve & Diagnostic Procedures (3)
1. Facial Fracture & Trauma Surgery
10 procedures — mandible, maxilla, zygoma, and panfacial fracture repair.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 272 | Closed reduction # Mandible/ Maxilla/MMF | 134,400 |
| 283 | Elevation # Zygoma: ORIF | 145,600 |
| 284 | Elevation #Zygoma: Closed | 56,000 |
| 297 | Exploration/Graft orbital fracture | 201,600 |
| 299 | Fractures of Upper face and cranioplasty | 336,000 |
| 303 | Mandibular fractures (ORIF) | 145,600 |
| 308 | Mid face fractures | 145,600 |
| 310 | Panfacial fractures | 392,000 |
| 312 | Reduction of Alveolar fracture closed | 33,600 |
| 313 | Reduction of Alveolar fracture Open | 145,600 |
2. Mandible & Maxilla Reconstruction
10 procedures — jaw reconstruction after tumour resection or trauma.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 281 | Costocondral graft to Mandible post Tumour resection and implant | 168,000 |
| 301 | Functional Orthognathic surgeries of the Maxilla/Mandible | 308,000 |
| 304 | Mandibular/Maxillary Autogenous bone graft | 168,000 |
| 305 | Mandibulectomy plus Reconstruction/Plating | 224,000 |
| 306 | Mandibulectomy/Maxillectomy plus Microvascular Bone graft | 224,000 |
| 307 | Maxillectomy + Obturator | 179,200 |
| 311 | Post condylar cartilage Bilateral graft | 168,000 |
| 320 | RMND+ Mandibulectomy/Maxillectomy with Microvascular Free Flap | 358,400 |
| 321 | RMND+Pedicled Flap Mandibulectomy/Maxillectomy +/- Implant | 280,000 |
| 324 | Segmental Osteotomy Mandible/Maxilla | 168,000 |
3. Cleft Lip & Palate Surgery
8 procedures — primary repair and revision of cleft lip, palate, and oronasal fistula.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 271 | Cheiloplasty without Flap closure | 44,800 |
| 274 | Closure Cleft Oronasal Fistula + Bone graft | 168,000 |
| 275 | Closure Cleft Oronasal Fistula with no Bone graft | 112,000 |
| 316 | Revision Cleft Lip/ Nose | 89,600 |
| 317 | Revision Palatoplasty- MicroVascular and Donor site graft | 280,000 |
| 318 | Revision Palatoplasty-Rotational Flap | 145,600 |
| 319 | Revision Vestibulopalsty + Skin graft | 201,600 |
| 328 | Simple Vestibulopalsty + Skin graft | 89,600 |
4. Facial Soft Tissue, Scar & Nasal Surgery
8 procedures — scar revision, skin grafting, rhinoplasty, and fistula closure.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 273 | Closed Rhinoplasty | 56,000 |
| 276 | Closure Oro- Antral fistula without flap | 44,800 |
| 290 | Excision of Scalp lesion +/- Wolfe graft | 78,400 |
| 292 | Excision/ Revision Facial scar | 44,800 |
| 298 | Facial Soft tissue Repair | 44,800 |
| 300 | Full thickness skin graft to oral defect | 89,600 |
| 302 | Lip shave and mucosal advancement flap | 112,000 |
| 309 | Oral/ facial/ Catilage Onlay graft | 112,000 |
5. Tumour & Cyst Excision
7 procedures — odontogenic tumours, hemangiomas, and cyst enucleation.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 285 | Enucleation Mandibular/ Maxillary cyst | 67,200 |
| 287 | Excision of Complex facial Hemangioma/Lymphangioma | 201,600 |
| 288 | Excision of Head / Neck lipoma >8cm | 33,600 |
| 289 | Excision Of Oral / Facial Odontogenic tumors | 280,000 |
| 291 | Excision of Simple facial Hemangioma/Lymphangioma | 89,600 |
| 293 | Excisionof Oral/ Facial BCC + Local Flap Reconstruction | 280,000 |
| 315 | Removal of branchial cyst/sinus/Ranula | 89,600 |
6. Craniofacial & Miscellaneous Surgery
7 procedures — infection debridement, foreign body removal, and reconstruction.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 282 | Debridement of Necrotising Orofacial infections per theatre encounter | 44,800 |
| 295 | Exploration/ removal Cranio- Facial Foreign bodies | 145,600 |
| 296 | Exploration/ removal Cranio- Facial Foreign bodies (minor) | 33,600 |
| 314 | Removal of Bone plates | 89,600 |
| 323 | Secondary Craniofacial Reconstruction | 392,000 |
| 325 | Sequestrectomy/ Decortication Mandible Maxilla | 67,200 |
| 332 | Torticollis / Fibromatosis Colli Correction | 145,600 |
7. Salivary Gland Surgery
6 procedures — parotidectomy, salivary duct repair, and sialolithectomy.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 278 | Complex Salivary gland Sialedenectomy/Tumours excision+/-RMND | 336,000 |
| 279 | ComplexFacial STR+Viin/Parotid Duct Repair | 112,000 |
| 294 | Exploration of Submandibular/ Parotid Gland duct w/ stent | 112,000 |
| 322 | Salivary Duct Redirection (Wilkie procedure) | 89,600 |
| 327 | Simple Salivary Gland Sialedonectomy /Sialolithectomy | 100,800 |
| 329 | Superficial Parotidectomy | 89,600 |
8. TMJ & Joint Surgery
5 procedures — jaw joint arthroplasty and arthroscopy.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 269 | Bilateral Open Joint Arthroplasty with condylar add-on | 392,000 |
| 270 | Bilateral Open Joint Arthroplasty with costochondral graft+/-Temporalis fascia | 336,000 |
| 280 | Coronoidectomy | 89,600 |
| 330 | Temporalis/ Masseter Myotomy | 112,000 |
| 331 | TMJ Arthroscopy | 44,800 |
9. Nerve & Diagnostic Procedures
3 procedures — nerve repair and diagnostic biopsy under anaesthesia.
| No. | Procedure | Tariff (KES) |
|---|---|---|
| 277 | Complex nerve exploration+microsurgical repair | 168,000 |
| 286 | EUA Diagnostic for Oro-facial / Biopsy | 28,000 |
| 326 | Simple Nerve exploration + repair | 112,000 |
These tariffs fall under the SHIF surgical package, which limits households to 3 minor, 2 major, and 1 specialized procedure per year. Complex jaw reconstruction, craniofacial reconstruction, and microvascular free flap procedures are typically classed as major or specialized and require Level 4–6 facilities with at least two operating theatres.
FAQ: SHA Maxillofacial Surgery Tariffs
How much does SHA pay for cleft lip and palate repair?
Cheiloplasty without flap closure is KES 44,800. Closure of a cleft oronasal fistula is KES 112,000 without bone graft or KES 168,000 with bone graft.
How much does SHA pay for facial fracture repair?
Mandibular fracture ORIF and mid-face fractures are each KES 145,600. Panfacial fractures are KES 392,000.
Does SHA cover jaw reconstruction after tumour removal?
Yes. Mandibulectomy with reconstruction and plating is KES 224,000, and mandibulectomy with a microvascular free flap is KES 358,400.
How much does SHA pay for TMJ (jaw joint) surgery?
TMJ arthroscopy is KES 44,800. Bilateral open joint arthroplasty ranges from KES 336,000 to 392,000 depending on graft technique.
What is the most expensive maxillofacial procedure SHA covers?
Three procedures tie at KES 392,000: bilateral open joint arthroplasty with condylar add-on, panfacial fractures, and secondary craniofacial reconstruction.
Need Help With a SHA Maxillofacial Claim?
Send us your details on WhatsApp and we’ll help you check coverage, referral requirements, or a rejected claim.
WhatsApp Us NowTariffs reflect the Surgical Package annex to the Social Health Insurance (Benefit Package) Tariffs. Verified July 2026.
