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Upper Facial Prosthesis, Provided by a Nonphysician

Indiana 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?

$2,399

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $4,467 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$2,239$2,138 to $2,570
FacilityA hospital or hospital-owned outpatient department$4,467$2,455 to $4,677

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,138 to $4,898Professionalmedian $2,239 · 10th to 90th $2,089 to $3,631
$1K$2K$5K$10Kfacility $4,467professional $2,239

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
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,187.76
Typical High
$3,162.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,677.35
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$4,365.16
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$5,248.07
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
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
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,884.03
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,238.72
Typical High
$3,235.94

Where Indiana 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.

Indiana· 39th of 51

$2,399

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.