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Upper Facial Prosthesis, Provided by a Nonphysician

North Carolina 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?

$3,311

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $3,311 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$3,311$2,399 to $3,388
FacilityA hospital or hospital-owned outpatient department$3,311$2,455 to $4,571

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,380 to $6,607Professionalmedian $3,311 · 10th to 90th $1,995 to $3,388
$1K$2K$5K$10K$20Kfacility $3,311professional $3,311

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
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,311.31
Typical High
$3,311.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$8,912.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,630.78
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,715.35
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,187.76
Typical High
$3,019.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,630.78
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$3,162.28
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$37,153.52

Where North Carolina 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.

North Carolina· 12th of 51

$3,311

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.