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Upper Facial Prosthesis, Provided by a Nonphysician

New Mexico rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Rates data updated October 2026.

How much does Upper Facial Prosthesis, Provided by a Nonphysician cost?

$3,090

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $3,236 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,090$2,042 to $3,631
FacilityA hospital or hospital-owned outpatient department$3,236$1,318 to $3,631

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,318 to $3,631Professionalmedian $3,090 · 10th to 90th $1,905 to $4,365
$2K$5Kfacility $3,236professional $3,090

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$4,365.16
Typical High
$6,606.93
Providence
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,951.21
Typical High
$3,630.78
Providence
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$4,677.35
United
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,041.74
Typical High
$3,090.30
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$741.31
Median
$812.83
Typical High
$1,230.27
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,778.28
Median
$1,905.46
Typical High
$2,951.21

Where New Mexico sits

The same service costs 2.0 times more in Hawaii than in Washington, DC. 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.

New Mexico· 24th of 51

$3,090

HI $4,898DC $2,399

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.