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Midfacial Prosthesis, Provided by a Nonphysician

New York rates for HCPCS L8041

Midfacial prosthesis, provided by a nonphysician

Rates data updated July 2026.

How much does Midfacial Prosthesis, Provided by a Nonphysician cost?

$2,042

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $2,512 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 9 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$1,950$1,862 to $3,162
FacilityA hospital or hospital-owned outpatient department$2,512$1,778 to $3,981

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,445 to $6,026Professionalmedian $1,950 · 10th to 90th $1,514 to $5,754
$1K$2K$5K$10K$20K$50Kfacility $2,512professional $1,950

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
$1,445.44
Median
$1,778.28
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,778.28
Typical High
$2,570.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$6,309.57
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,090.30
Typical High
$3,311.31
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$3,090.30
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,884.03
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$6,606.93
Typical High
$15,488.17
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,265.80
Typical High
$7,585.78
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,511.89
Typical High
$2,818.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,890.45
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,137.96
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,570.40
Typical High
$6,606.93
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,398.83
Typical High
$2,398.83
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,398.83
Typical High
$2,511.89

Where New York sits

The same service costs 2.7 times more in Minnesota than in Nebraska. 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.

New York· 27th of 51

$2,042

MN $4,169NE $1,549

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.