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Maxillofacial Prosthesis Repair/Modification, per 15 Minutes

Washington 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 Washington, 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 $20.42 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 $50.12
FacilityA hospital or hospital-owned outpatient department$20.42$20.42 to $28.18

How much rates vary

Facilitymedian $20 · 10th to 90th $20 to $68Professionalmedian $28 · 10th to 90th $13 to $50
$0.2$1.0$5.0$20.0facility $20professional $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. 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
$67.61
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
$10.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$20.89
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$17.78
Typical High
$21.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12

Where Washington 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.

Washington $28.18 · 10th 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.