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Upper Facial Prosthesis, Provided by a Nonphysician

Alaska rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Rates data updated October 2026.

How much does Upper Facial Prosthesis, Provided by a Nonphysician cost?

$4,786

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,898 from a physician practice, and about $4,365 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,898$3,890 to $4,898
FacilityA hospital or hospital-owned outpatient department$4,365$3,631 to $4,898

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,950 to $4,898Professionalmedian $4,898 · 10th to 90th $2,512 to $5,129
$100$200$500$1K$2K$5K$10Kfacility $4,365professional $4,898

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$5,248.07
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$4,570.88
Typical High
$4,897.79
Moda Health
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$4,897.79
Typical High
$5,128.61
Moda Health
Setting
Professional
Modifier
KM · Facial prosthesis, new mold
Typical Low
$2,290.87
Median
$4,570.88
Typical High
$6,606.93
Moda Health
Setting
Professional
Modifier
KN · Facial prosthesis, prior mold
Typical Low
$977.24
Median
$1,949.84
Typical High
$2,754.23
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,128.61
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,897.79
Typical High
$5,011.87
Premera BCBS
Setting
Professional
Modifier
KM · Facial prosthesis, new mold
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$4,786.30
Premera BCBS
Setting
Professional
Modifier
KN · Facial prosthesis, prior mold
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$2,041.74
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$4,168.69
Median
$4,897.79
Typical High
$4,897.79
Providence
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$3,801.89
Typical High
$5,370.32
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$3,311.31
Typical High
$5,248.07
United
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,511.89
Typical High
$11,220.18

Where Alaska sits

The same service costs 2.0 times more in Hawaii than in Washington, DC. 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.

Alaska· 2nd of 51

$4,786

HI $4,898DC $2,399

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.