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Partial Facial Prosthesis, Provided by a Nonphysician

Pennsylvania 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?

$1,585

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $5,623 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$1,585$1,445 to $2,042
FacilityA hospital or hospital-owned outpatient department$5,623$1,445 to $10,471

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,445 to $15,849Professionalmedian $1,585 · 10th to 90th $1,349 to $2,692
$1.0$10.0$100.0$1.0K$10.0Kfacility $5,623professional $1,585

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
$1,445.44
Median
$1,445.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$2,290.87
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
$1,819.70
Median
$2,630.27
Typical High
$3,311.31
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
$1,819.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$6,918.31
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$3,311.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$5,623.41
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,584.89
Typical High
$2,290.87
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$11,748.98
Typical High
$19,054.61
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,090.30
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,137.96
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$3,467.37

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 $1,585 · 43rd 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.