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Maxillofacial Prosthesis Repair/Modification, per 15 Minutes

South Dakota 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?

$28.18

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $47.86 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$28.18$28.18 to $37.15
FacilityA hospital or hospital-owned outpatient department$47.86$28.18 to $85.11

How much rates vary

Facilitymedian $48 · 10th to 90th $21 to $93Professionalmedian $28 · 10th to 90th $13 to $55
$10.0$20.0$50.0$100.0facility $48professional $28

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. 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
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$37.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$109.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$23.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$16.60
Typical High
$21.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36

Where South Dakota 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.

South Dakota $28.18 · 24th 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.