go back

Hemi-Facial Prosthesis, Provided by a Nonphysician

Pennsylvania rates for HCPCS L8044

Hemi-facial prosthesis, provided by a nonphysician

Rates data updated July 2026.

How much does Hemi-Facial Prosthesis, Provided by a Nonphysician cost?

$2,455

Typical negotiated rate. In Pennsylvania, 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 $6,166 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 9 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$2,239 to $3,162
FacilityA hospital or hospital-owned outpatient department$6,166$2,239 to $14,791

How much rates vary

Facilitymedian $6,166 · 10th to 90th $2,239 to $24,547Professionalmedian $2,455 · 10th to 90th $2,089 to $4,169
$10.0$100.0$1.0K$10.0Kfacility $6,166professional $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
$2,238.72
Median
$2,238.72
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$3,548.13
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,818.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$7,413.10
Typical High
$10,715.19
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$5,128.61
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$8,709.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$3,548.13
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$18,197.01
Typical High
$29,512.09
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,786.30
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,311.31
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,818.38
Typical High
$5,495.41

Where Pennsylvania sits

The same service costs 2.8 times more in Minnesota than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $2,455 · 45th of 51
MN $5,888NE $2,138

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.