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Maxillofacial Prosthesis Repair/Modification, per 15 Minutes

Minnesota rates for HCPCS L8049

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

Rates data updated October 2026.

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

$15.85

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $54.95 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.85$12.59 to $20.89
FacilityA hospital or hospital-owned outpatient department$54.95$15.85 to $54.95

How much rates vary

Facilitymedian $55 · 10th to 90th $15 to $66Professionalmedian $16 · 10th to 90th $11 to $55
$10$20$50$100facility $55professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$14.79
Median
$15.85
Typical High
$87.10
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$12.59
Medica
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$14.79
Typical High
$24.55
United
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$14.45
Typical High
$26.92

Where Minnesota sits

The same service costs 3.5 times more in North Dakota than in Oklahoma. 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.

Minnesota· 35th of 51

$15.85

ND $38.90OK $10.96

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.