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Upper Facial Prosthesis, Provided by a Nonphysician

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $4,365 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 6 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$2,399$2,239 to $3,802
FacilityA hospital or hospital-owned outpatient department$4,365$2,239 to $7,244

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,239 to $21,878Professionalmedian $2,399 · 10th to 90th $2,089 to $4,786
$1K$2K$5K$10K$20K$50Kfacility $4,365professional $2,399

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
$2,238.72
Median
$2,238.72
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,238.72
Typical High
$4,677.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$8,912.51
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,630.78
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$4,570.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,248.07
Typical High
$6,309.57
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,715.35
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$3,981.07

Where Illinois 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.

Illinois· 30th 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.