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Wisconsin rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Facilitymedian $4,677 · 10th–90th $3,020$8,5110%20%40%10th90th$4,677Professionalmedian $3,236 · 10th–90th $2,089$6,9180%20%10th90th$3,236$2.0$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,290.87 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,265.80 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $10,715.19 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,606.93 / $8,709.64
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,715.35 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,570.88 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,570.88 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,884.03 / $5,128.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $4,570.88
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,248.07 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,918.31 / $12,589.25
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $9,120.11 / $22,387.21
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,623.41 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,691.53 / $3,311.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,238.72 / $3,801.89