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Orbital Prosthesis, Provided by a Nonphysician

Idaho 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?

$3,236

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $2,818 from a physician practice, and about $3,631 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 8 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$2,818$2,188 to $3,890
FacilityA hospital or hospital-owned outpatient department$3,631$2,754 to $3,890

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,175 to $4,898Professionalmedian $2,818 · 10th to 90th $1,820 to $4,467
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,631professional $2,818

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
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,801.89
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,235.94
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,311.31
Typical High
$4,265.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,890.45
Typical High
$4,073.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$3,467.37
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,890.45
Typical High
$3,890.45
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$4,466.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,073.80
Typical High
$6,165.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,890.45
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2,398.83
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,819.70
Typical High
$2,754.23

Where Idaho 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.

Idaho $3,236 · 10th 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.