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Orbital Prosthesis, Provided by a Nonphysician

Florida 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?

$2,089

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $2,089 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 7 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$1,738 to $2,951
FacilityA hospital or hospital-owned outpatient department$2,089$1,738 to $4,074

How much rates vary

Facilitymedian $2,089 · 10th to 90th $1,413 to $7,413Professionalmedian $2,089 · 10th to 90th $1,698 to $3,162
$1K$2K$5Kfacility $2,089professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,905.46
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$3,090.30
AvMed
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$3,235.94
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,235.94
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,454.71
Typical High
$4,073.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$3,019.95
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,398.83
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,995.26
Typical High
$2,754.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$4,073.80

Where Florida sits

The same service costs 5.8 times more in Hawaii than in Nebraska. 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.

Florida· 42nd of 51

$2,089

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.