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Upper Facial Prosthesis, Provided by a Nonphysician

Arizona rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Rates data updated July 2026.

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

$2,455

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $3,715 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 5 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$2,455$1,950 to $3,090
FacilityA hospital or hospital-owned outpatient department$3,715$1,905 to $5,495

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,230 to $8,913Professionalmedian $2,455 · 10th to 90th $1,862 to $4,786
$100$1K$10Kfacility $3,715professional $2,455

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
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$3,981.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$4,897.79
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,570.88
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,311.31
Typical High
$21,379.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$3,019.95

Where Arizona 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.

Arizona· 33rd of 51

$2,455

MN $5,248NE $1,950

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.