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Upper Facial Prosthesis, Provided by a Nonphysician

Montana rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Rates data updated July 2026.

Facilitymedian $4,169 · 10th–90th $2,818$5,2480%20%40%10th90th$4,169Professionalmedian $3,715 · 10th–90th $1,318$8,1280%10%10th90th$3,715$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$3,715.35
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,466.84
Typical High
$4,466.84
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,168.69
Typical High
$8,128.31
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,168.69
Typical High
$8,128.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,981.07
Typical High
$6,309.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,467.37
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,691.53
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$3,090.30