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Orbital Prosthesis, Provided by a Nonphysician

Illinois 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?

$2,884

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $3,890 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$2,754$1,995 to $3,162
FacilityA hospital or hospital-owned outpatient department$3,890$1,995 to $6,457

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,995 to $19,498Professionalmedian $2,754 · 10th to 90th $1,862 to $4,169
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,890professional $2,754

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
$1,995.26
Median
$1,995.26
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,995.26
Typical High
$4,168.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,943.28
Typical High
$28,183.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$4,073.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,677.35
Typical High
$5,623.41
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$2,041.74
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$3,311.31
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,041.74
Typical High
$3,467.37

Where Illinois 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.

Illinois $2,884 · 15th 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.