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Upper Facial Prosthesis, Provided by a Nonphysician

Iowa 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?

$3,236

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $3,631 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 7 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$3,236$2,239 to $3,890
FacilityA hospital or hospital-owned outpatient department$3,631$2,884 to $5,370

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,622 to $9,120Professionalmedian $3,236 · 10th to 90th $1,950 to $5,495
$10$100$1K$10Kfacility $3,631professional $3,236

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
$2,454.71
Median
$3,235.94
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,691.53
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$5,248.07
Typical High
$6,606.93
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,786.30
Typical High
$5,754.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$5,495.41
Typical High
$21,379.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,019.95
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,897.79
Typical High
$10,964.78
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,918.31
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,884.03
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$4,570.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,168.69
Typical High
$4,168.69

Where Iowa 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.

Iowa· 13th of 51

$3,236

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.