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New York rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Facilitymedian $3,890 · 10th–90th $1,622$9,1200%10%20%10th90th$3,890Professionalmedian $2,455 · 10th–90th $1,905$6,9180%20%40%10th90th$2,455$2.0$10.0$50.0$200.0$1.0K$5.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,981.07 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,238.72 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $7,943.28
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,890.45 / $4,168.69
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,890.45 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $5,248.07
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $19,498.45
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,370.32 / $9,549.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,162.28 / $3,548.13
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,691.53 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,162.28 / $8,317.64
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,019.95 / $3,019.95
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,019.95 / $3,162.28