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Upper Facial Prosthesis, Provided by a Nonphysician

Washington rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Rates data updated July 2026.

Facilitymedian $4,365 · 10th–90th $2,884$9,3330%20%10th90th$4,365Professionalmedian $3,715 · 10th–90th $2,138$7,9430%20%10th90th$3,715$20.0$100.0$500.0$2.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,884.03
Typical High
$20,417.38
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,365.16
Typical High
$4,466.84
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,011.87
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,248.07
Typical High
$12,589.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$5,011.87
Typical High
$9,332.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$4,265.80
Typical High
$4,570.88
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,365.16
Typical High
$4,466.84
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,265.80
Typical High
$4,466.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,606.93
Typical High
$8,912.51
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,365.16
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,466.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,090.30
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,691.53
Typical High
$3,981.07
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,162.28
Typical High
$6,760.83