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Orbital Prosthesis, Provided by a Nonphysician

Georgia 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?

$2,399

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $3,236 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 6 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$2,399$1,862 to $3,311
FacilityA hospital or hospital-owned outpatient department$3,236$1,660 to $4,898

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,096 to $14,791Professionalmedian $2,399 · 10th to 90th $1,660 to $3,981
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,236professional $2,399

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
$1,659.59
Median
$1,659.59
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,995.26
Typical High
$3,311.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$9,549.93
Typical High
$14,791.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,311.31
Typical High
$4,897.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,235.94
Typical High
$3,388.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$3,235.94
Typical High
$3,388.44
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
$4,897.79
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,290.87
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$3,890.45

Where Georgia 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.

Georgia $2,399 · 23rd 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.