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Maxillofacial Prosthesis Repair/Modification, per 15 Minutes

Montana 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?

$21.88

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $21.88 for this service. Most negotiated rates run $13.18 to $79.43.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13 · 10th to 90th $13 to $13Professionalmedian $22 · 10th to 90th $13 to $79
$10$20$50facility $13professional $22

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$54.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$12.59
Typical High
$13.49
Providence
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$13.49
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$21.88

Where Montana 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.

Montana· 12th of 51

$21.88

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.