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Other Maxillofacial Prosthesis, Provided by a Nonphysician

Indiana rates for HCPCS L8048

Unspecified maxillofacial prosthesis, by report, provided by a nonphysician

Rates data updated October 2026.

How much does Other Maxillofacial Prosthesis, Provided by a Nonphysician cost?

$891

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $631 to $1,047.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,047 · 10th to 90th $1,047 to $2,089Professionalmedian $891 · 10th to 90th $1 to $1,047
$0.1$1$10$100$1Kfacility $1,047professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.02
Median
$1.00
Typical High
$1.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,047.13
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,089.30
Typical High
$2,290.87
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47

Where Indiana sits

The same service costs 169.8 times more in Mississippi than in Arkansas. 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.

Indiana· 30th of 51

$891

MS $3,020AR $17.78

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.