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Upper Facial Prosthesis, Provided by a Nonphysician

New York 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?

$2,570

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $3,162 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 9 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$2,344 to $3,981
FacilityA hospital or hospital-owned outpatient department$3,162$2,239 to $5,129

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,820 to $7,586Professionalmedian $2,455 · 10th to 90th $1,905 to $7,244
$1K$2K$5K$10K$20K$50Kfacility $3,162professional $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
$1,819.70
Median
$2,238.72
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$7,943.28
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$4,168.69
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,317.64
Typical High
$19,498.45
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,370.32
Typical High
$9,549.93
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,162.28
Typical High
$3,548.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,897.79
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,691.53
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,235.94
Typical High
$8,128.31
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$3,019.95
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,019.95
Typical High
$3,162.28

Where New York 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 York· 24th of 51

$2,570

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.