Updated January 2026

MMA (Maxillomandibular Advancement) Cost Guide

Major surgical procedure that advances both the upper jaw (maxilla) and lower jaw (mandible) to enlarge the airway.

2026 MMA Surgery Cost Summary

Price Range $40,000 - $100,000
Average Cost $65,000
Success Rate 85-95%
Insurance Typically Covered
Recovery Time 4-6 weeks
Dr. Igor I. Bussel, MD
Medically Reviewed by Dr. Igor I. Bussel, MD

Board-Certified Physician | UCI Gavin Herbert Eye Institute | Last Updated: January 2026

What is MMA (Maxillomandibular Advancement)?

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.

How Much Does MMA Surgery Cost in 2026?

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:

  • Geographic location and local cost of living
  • Hospital vs. outpatient surgical center
  • Surgeon's experience and expertise
  • Complexity of your specific case
  • Whether combined with other procedures
  • Your insurance coverage and deductible

MMA Surgery Success Rates

85-95%
Success Rate
40-50%
Cure Rate
80-90%
AHI Reduction

Who is a Good Candidate?

Best for: Severe OSA, patients with skeletal deficiency, failed other surgeries

Important Considerations

  • Most effective surgical option with highest success rates
  • Most invasive procedure with longest recovery time
  • May alter facial appearance (usually considered improvement)
  • Requires oral and maxillofacial surgeon experienced in sleep surgery
  • Often combined with genioglossus advancement

Recovery & Downtime

4-6 weeks
Full Recovery
1-2 days
Hospital Stay
2-4 weeks
Return to Work

Insurance Coverage

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

Quick Facts

Procedure Type Surgical
Anesthesia General
Procedure Time 1-3 hours
CPT Code 21141

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Frequently Asked Questions

How much does MMA Surgery cost without insurance?

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.

Is MMA Surgery covered by insurance?

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.

What is the success rate of MMA Surgery?

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.

How long is recovery after MMA Surgery?

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.