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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 October 2026.

How much does Upper Facial Prosthesis, Provided by a Nonphysician cost?

$4,169

Typical negotiated rate. In South Dakota, October 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 $6,026 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,169$3,020 to $4,571
FacilityA hospital or hospital-owned outpatient department$6,026$3,631 to $7,079

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,884 to $11,482Professionalmedian $4,169 · 10th to 90th $2,138 to $5,623
$2K$5K$10K$20Kfacility $6,026professional $4,169

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$5,248.07
Typical High
$6,606.93
Medica
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$7,079.46
Typical High
$11,481.54
Medica
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$3,019.95
Typical High
$23,988.33
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$676.08
Median
$1,148.15
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,621.81
Median
$2,691.53
Typical High
$3,235.94
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Midlands
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$7,585.78
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$4,265.80
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,818.38
Typical High
$3,388.44
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$676.08
Median
$1,148.15
Typical High
$1,348.96
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,584.89
Median
$2,691.53
Typical High
$3,235.94
Wellmark
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69

Where South Dakota sits

The same service costs 2.0 times more in Hawaii than in Washington, DC. 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· 5th of 51

$4,169

HI $4,898DC $2,399

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.