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Maxillofacial Prosthesis Repair/Modification, per 15 Minutes

Massachusetts 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?

$21.88

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $22.91 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 7 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$21.88$17.78 to $28.18
FacilityA hospital or hospital-owned outpatient department$22.91$21.88 to $22.91

How much rates vary

Facilitymedian $23 · 10th to 90th $13 to $3,631Professionalmedian $22 · 10th to 90th $18 to $50
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $23professional $22

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
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$54.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$12.59
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$26.92
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$20.89
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.78
Typical High
$21.88

Where Massachusetts 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.

Massachusetts $21.88 · 47th 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.