go back

Upper Facial Prosthesis, Provided by a Nonphysician

Missouri 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?

$2,570

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $3,388 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$2,455$2,188 to $3,090
FacilityA hospital or hospital-owned outpatient department$3,388$2,512 to $4,266

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,698 to $6,607Professionalmedian $2,455 · 10th to 90th $1,905 to $5,012
$1K$2K$5K$10K$20Kfacility $3,388professional $2,455

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
$1,905.46
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,818.38
Typical High
$20,417.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$14,791.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,388.44
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,019.95
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,089.30
Typical High
$3,235.94

Where Missouri 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.

Missouri· 26th of 51

$2,570

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.