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Upper Facial Prosthesis, Provided by a Nonphysician

Utah rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Rates data updated July 2026.

Facilitymedian $2,570 · 10th–90th $1,318$4,2660%20%10th90th$2,570Professionalmedian $3,020 · 10th–90th $1,318$20,4170%10%10th90th$3,020$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,905.46
Typical High
$20,417.38
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
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$3,090.30
Typical High
$3,981.07
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$4,265.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$5,011.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$4,265.80
Typical High
$4,570.88
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,365.16
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,511.89
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$3,090.30