go back

Partial Facial Prosthesis, Provided by a Nonphysician

Ohio 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?

$1,738

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $3,311 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 8 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$1,698$1,549 to $2,291
FacilityA hospital or hospital-owned outpatient department$3,311$1,995 to $3,548

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,318 to $5,012Professionalmedian $1,698 · 10th to 90th $1,445 to $3,311
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,311professional $1,698

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
$1,584.89
Median
$1,584.89
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$2,691.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,467.37
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,862.09
Typical High
$4,168.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,290.87
Typical High
$3,630.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$2,089.30
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$2,187.76
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,905.46
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,398.83
Typical High
$3,548.13
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,715.35
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,089.30
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$2,344.23

Where Ohio 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.

Ohio $1,738 · 29th of 51
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.