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Partial Facial Prosthesis, Provided by a Nonphysician

New York rates for HCPCS L8046

Partial facial prosthesis, provided by a nonphysician

Rates data updated July 2026.

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

$1,778

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $2,188 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$1,778$1,698 to $2,344
FacilityA hospital or hospital-owned outpatient department$2,188$1,585 to $3,715

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,318 to $5,370Professionalmedian $1,778 · 10th to 90th $1,380 to $4,786
$500$1K$2K$5K$10K$20K$50Kfacility $2,188professional $1,778

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
$1,318.26
Median
$1,584.89
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$2,290.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$7,244.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,778.28
Typical High
$5,128.61
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,818.38
Typical High
$2,951.21
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,818.38
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,862.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$13,803.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,801.89
Typical High
$6,918.31
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,290.87
Typical High
$2,570.40
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,467.37
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,905.46
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,290.87
Typical High
$5,888.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,137.96
Typical High
$2,137.96
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,137.96
Typical High
$2,290.87

Where New York sits

The same service costs 2.8 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.

New York· 23rd of 51

$1,778

MN $3,802NE $1,380

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.