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Upper Facial Prosthesis, Provided by a Nonphysician

Michigan 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?

$2,692

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,570 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 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$2,570$2,344 to $4,571
FacilityA hospital or hospital-owned outpatient department$3,715$2,570 to $9,550

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,230 to $17,378Professionalmedian $2,570 · 10th to 90th $2,138 to $4,571
$10$100$1K$10Kfacility $3,715professional $2,570

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
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$2,691.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$13,803.84
Typical High
$26,302.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,570.88
Typical High
$4,786.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$2,884.03
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
$3,019.95
Median
$3,090.30
Typical High
$5,011.87
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$8,709.64
Typical High
$9,549.93
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,630.78
Typical High
$5,495.41
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,884.03
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,187.76
Typical High
$3,235.94

Where Michigan 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.

Michigan· 21st of 51

$2,692

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.