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Upper Facial Prosthesis, Provided by a Nonphysician

South Dakota 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?

$4,169

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $3,890 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 7 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$4,169$3,715 to $5,248
FacilityA hospital or hospital-owned outpatient department$3,890$3,090 to $4,677

How much rates vary

Facilitymedian $3,890 · 10th to 90th $2,570 to $8,318Professionalmedian $4,169 · 10th to 90th $3,236 to $6,607
$1K$2K$5K$10K$20Kfacility $3,890professional $4,169

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$6,606.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,365.16
Typical High
$11,481.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,090.30
Typical High
$23,988.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,570.88
Typical High
$4,570.88
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$7,585.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,265.80
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,691.53
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,019.95
Typical High
$4,786.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69

Where South Dakota 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.

South Dakota· 4th of 51

$4,169

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.