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Other Maxillofacial Prosthesis, Provided by a Nonphysician

Wisconsin rates for HCPCS L8048

Unspecified maxillofacial prosthesis, by report, provided by a nonphysician

Rates data updated July 2026.

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

$891

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $1,047 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 5 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$891$891 to $891
FacilityA hospital or hospital-owned outpatient department$1,047$589 to $1,047

How much rates vary

Facilitymedian $1,047 · 10th to 90th $65 to $1,047Professionalmedian $891 · 10th to 90th $59 to $1,047
$50$100$200$500$1K$2Kfacility $1,047professional $891

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$1,047.13
Typical High
$1,047.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,047.13

Where Wisconsin sits

The same service costs 18620871.4 times more in Arkansas than in Louisiana. 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.

Wisconsin· 37th of 51

$891

AR $371,535LA $0.02

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.