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Orbital Prosthesis, Provided by a Nonphysician

Hawaii 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?

$10,000

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $10,000 for this service. Most negotiated rates run $2,570 to $10,000.

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.

How much rates vary

Facilitymedian $2,455 · 10th to 90th $977 to $3,236Professionalmedian $10,000 · 10th to 90th $1,622 to $10,000
$1.0K$2.0K$5.0K$10.0Kfacility $2,455professional $10,000

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
$1,621.81
Median
$1,621.81
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,981.07
Typical High
$4,897.79
HMSA
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,365.16
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,344.23
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,019.95
Typical High
$6,456.54

Where Hawaii 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.

Hawaii $10,000 · 1st 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.