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Orbital Prosthesis, Provided by a Nonphysician

Connecticut rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Rates data updated July 2026.

How much does Orbital Prosthesis, Provided by a Nonphysician cost?

$2,138

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $2,692 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$2,089$1,862 to $2,512
FacilityA hospital or hospital-owned outpatient department$2,692$1,479 to $3,388

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,096 to $4,365Professionalmedian $2,089 · 10th to 90th $1,698 to $3,981
$1.0K$2.0K$5.0K$10.0Kfacility $2,692professional $2,089

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,949.84
Typical High
$4,466.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,290.87
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,162.28
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,290.87
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$3,548.13

Where Connecticut sits

The same service costs 5.8 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Connecticut $2,138 · 40th of 51
HI $10,000NE $1,738

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.