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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 July 2026.

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

$2,455

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $2,951 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 5 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$2,399 to $3,311
FacilityA hospital or hospital-owned outpatient department$2,951$1,549 to $3,631

How much rates vary

Facilitymedian $2,951 · 10th to 90th $1,259 to $4,677Professionalmedian $2,455 · 10th to 90th $2,089 to $6,607
$1K$2K$5K$10K$20Kfacility $2,951professional $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
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
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
$6,606.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,365.16
Typical High
$6,606.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,235.94
Typical High
$4,677.35
Providence
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,818.38
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,041.74
Typical High
$3,090.30

Where New Mexico 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.

New Mexico· 32nd of 51

$2,455

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.