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Iowa rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Facilitymedian $3,236 · 10th–90th $1,288–$9,7720%20%10th90th$3,236Professionalmedian $2,138 · 10th–90th $1,698–$4,0740%20%10th90th$2,138$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,884.03 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,089.30 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,677.35 / $5,888.44
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,265.80 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,897.79 / $19,054.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,691.53 / $7,762.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,265.80 / $9,772.37
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $4,168.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $6,309.57 / $6,309.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,570.40 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,041.74 / $3,388.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,630.78 / $3,630.78