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Upper Facial Prosthesis, Provided by a Nonphysician

Kentucky 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?

$2,239

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $2,692 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$2,239$2,138 to $2,455
FacilityA hospital or hospital-owned outpatient department$2,692$2,138 to $4,266

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,230 to $6,166Professionalmedian $2,239 · 10th to 90th $1,995 to $3,311
$10$100$1K$10Kfacility $2,692professional $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
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,238.72
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,570.88
Typical High
$4,786.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$2,454.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,981.07
Typical High
$7,413.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$4,677.35
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,165.95
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$22,387.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,511.89
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,238.72
Typical High
$3,090.30

Where Kentucky 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.

Kentucky· 47th of 51

$2,239

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.