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Upper Facial Prosthesis, Provided by a Nonphysician

Virginia 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?

$2,455

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $3,548 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$2,399 to $3,090
FacilityA hospital or hospital-owned outpatient department$3,548$2,399 to $4,677

How much rates vary

Facilitymedian $3,548 · 10th to 90th $1,413 to $5,370Professionalmedian $2,455 · 10th to 90th $2,042 to $4,169
$1K$2K$5K$10Kfacility $3,548professional $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
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$2,454.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$5,128.61
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
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
$3,467.37
Median
$4,677.35
Typical High
$6,456.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$4,570.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,235.94
Typical High
$5,370.32
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,019.95
Typical High
$3,090.30
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,162.28
Typical High
$6,165.95
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,511.89
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,290.87
Typical High
$3,548.13

Where Virginia 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.

Virginia· 31st of 51

$2,455

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.