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Massachusetts rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Facilitymedian $5,248 · 10th–90th $1,862–$7,4130%20%10th90th$5,248Professionalmedian $2,754 · 10th–90th $1,820–$4,1690%20%10th90th$2,754$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
$1,862.09 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,995.26 / $3,467.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,168.69 / $19,498.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,090.30 / $4,786.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,623.41 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $3,311.31
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $5,623.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,168.69 / $19,498.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,090.30 / $4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $2,290.87 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,754.23 / $3,715.35