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Upper Facial Prosthesis, Provided by a Nonphysician

Vermont 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?

$2,692

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $2,692 for this service. Most negotiated rates run $2,344 to $3,162.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,230 to $3,631Professionalmedian $2,692 · 10th to 90th $2,344 to $3,162
$1K$2K$5K$10Kfacility $2,884professional $2,692

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
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,691.53
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,090.30
Typical High
$9,549.93

Where Vermont 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.

Vermont· 23rd of 51

$2,692

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.