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Upper Facial Prosthesis, Provided by a Nonphysician

New Hampshire rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Rates data updated July 2026.

Facilitymedian $4,898 · 10th–90th $2,692$5,7540%10%20%10th90th$4,898Professionalmedian $3,236 · 10th–90th $2,138$4,1690%20%10th90th$3,236$1.0K$2.0K$5.0K$10.0K$20.0K

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
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,691.53
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,248.07
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,630.27
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,090.30
Typical High
$4,168.69
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,011.87