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Upper Facial Prosthesis, Provided by a Nonphysician

Oregon 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?

$3,548

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $4,169 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$3,388$2,455 to $4,365
FacilityA hospital or hospital-owned outpatient department$4,169$3,548 to $4,467

How much rates vary

Facilitymedian $4,169 · 10th to 90th $3,162 to $4,467Professionalmedian $3,388 · 10th to 90th $2,042 to $5,012
$100$500$2K$10Kfacility $4,169professional $3,388

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
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$3,801.89
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
$3,090.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$8,912.51
Typical High
$10,964.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,235.94
Typical High
$4,365.16
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,548.13
Typical High
$4,786.30
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,365.16
Typical High
$4,466.84
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,466.84
Typical High
$4,897.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,715.35
Typical High
$5,011.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,890.45
Typical High
$4,677.35
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,677.35
Typical High
$17,378.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$1,548.82
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$3,890.45

Where Oregon 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.

Oregon· 10th of 51

$3,548

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.