Major surgical procedure that advances both the upper jaw (maxilla) and lower jaw (mandible) to enlarge the airway.
Board-Certified Physician | UCI Gavin Herbert Eye Institute | Last Updated: January 2026
Maxillomandibular advancement (MMA) is considered the most effective surgical treatment for obstructive sleep apnea, with success rates of 85-95%. The procedure involves surgically cutting and repositioning both the upper jaw (maxilla) and lower jaw (mandible), advancing them forward typically 10-12mm. This dramatically enlarges the airway space behind the tongue and soft palate. MMA is often reserved for severe OSA cases, patients who have failed other surgeries, or those with skeletal deficiency contributing to their airway obstruction.
The cost of MMA Surgery surgery ranges from $40,000 to $100,000, with an average cost of approximately $65,000. These costs can vary significantly based on:
Best for: Severe OSA, patients with skeletal deficiency, failed other surgeries
MMA Surgery is typically covered by insurance when deemed medically necessary for obstructive sleep apnea treatment. Most major insurance companies, including Medicare, cover this procedure when patients meet specific criteria.
CPT Code(s): 21141, 21196
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Without insurance, MMA Surgery typically costs between $40,000 and $100,000, depending on the provider, location, and complexity of the case. Many providers offer payment plans or financing options.
Yes, MMA Surgery is typically covered by insurance when deemed medically necessary for obstructive sleep apnea. Most patients need to have tried CPAP therapy first. Check with your insurance provider for specific coverage details.
MMA Surgery has a success rate of 85-95% in reducing sleep apnea severity. The procedure can reduce AHI (apnea-hypopnea index) by 80-90% on average.
Full recovery from MMA Surgery typically takes 4-6 weeks. Most patients can return to work in 2-4 weeks. Hospital stay is usually 1-2 days.