go back

Maine rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.07 / $2,876.46 / $2,876.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,798.55 / $4,921.37 / $9,122.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.78 / $2,308.42 / $3,206.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.96 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,214.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,457.97 / $3,457.97 / $3,457.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.80 / $2,876.46 / $2,876.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.48 / $2,719.10 / $4,899.97