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Upper Facial Prosthesis, Provided by a Nonphysician

Ohio 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 Ohio, 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 $4,677 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 8 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$2,138 to $3,236
FacilityA hospital or hospital-owned outpatient department$4,677$3,020 to $5,012

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,862 to $6,918Professionalmedian $2,455 · 10th to 90th $2,042 to $4,677
$1K$2K$5K$10Kfacility $4,677professional $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
$2,238.72
Median
$2,238.72
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,238.72
Typical High
$3,801.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,897.79
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,630.27
Typical High
$6,025.60
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,162.28
Typical High
$5,128.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,884.03
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,801.89
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$3,388.44
Typical High
$4,897.79
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,884.03
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$3,235.94

Where Ohio 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.

Ohio· 25th 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.