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Maxillofacial Prosthesis Repair/Modification, per 15 Minutes

Kentucky 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?

$25.12

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 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$25.12$24.55 to $28.18
FacilityA hospital or hospital-owned outpatient department$28.18$21.88 to $28.18

How much rates vary

Facilitymedian $28 · 10th to 90th $13 to $65Professionalmedian $25 · 10th to 90th $13 to $55
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $28professional $25

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
$24.55
Median
$28.18
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$25.12
Typical High
$25.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$39.81
Typical High
$53,703.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.88
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$30.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.89
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$19.95
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$13.18
Typical High
$21.88

Where Kentucky sits

The same service costs 3.2 times more in Mississippi than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $25.12 · 41st of 51
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.