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Orbital Prosthesis, Provided by a Nonphysician

Maine 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?

$2,818

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,818 from a physician practice, and about $4,169 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$2,818$2,188 to $3,715
FacilityA hospital or hospital-owned outpatient department$4,169$2,692 to $5,012

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,148 to $5,248Professionalmedian $2,818 · 10th to 90th $1,862 to $3,715
$500$1K$2K$5K$10Kfacility $4,169professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,187.76
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,011.87
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,235.94
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,235.94
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,466.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,398.83
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,290.87
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,548.13
Typical High
$3,715.35

Where Maine sits

The same service costs 5.8 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 16th of 51

$2,818

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.