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Maxillofacial Prosthesis Repair/Modification, per 15 Minutes

Illinois rates for HCPCS L8049

Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a nonphysician

Rates data updated July 2026.

How much does Maxillofacial Prosthesis Repair/Modification, per 15 Minutes cost?

$28.18

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $28.18 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.18$28.18 to $28.18
FacilityA hospital or hospital-owned outpatient department$28.18$28.18 to $45.71

How much rates vary

Facilitymedian $28 · 10th to 90th $22 to $100Professionalmedian $28 · 10th to 90th $13 to $30
$10$20$50$100$200facility $28professional $28

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$33.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$44.67
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$12.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$19.95
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$21.88

Where Illinois sits

The same service costs 3.2 times more in Mississippi than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 31st of 51

$28.18

MS $50.12MN $15.85

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.