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Maxillofacial Prosthesis Repair/Modification, per 15 Minutes

South Carolina 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?

$16.22

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $16.22 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.22$13.18 to $28.18
FacilityA hospital or hospital-owned outpatient department$16.22$12.59 to $28.18

How much rates vary

Facilitymedian $16 · 10th to 90th $13 to $34Professionalmedian $16 · 10th to 90th $11 to $30
$10$20$50facility $16professional $16

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
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
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
Medcost
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$45.71
Medcost
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$30.20
Typical High
$30.20
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$13.18
Typical High
$21.88

Where South Carolina 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.

South Carolina· 30th of 51

$16.22

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.