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Orbital Prosthesis, Provided by a Nonphysician

Minnesota 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?

$4,677

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $6,166 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$4,677$2,754 to $4,677
FacilityA hospital or hospital-owned outpatient department$6,166$4,074 to $15,136

How much rates vary

Facilitymedian $6,166 · 10th to 90th $3,388 to $33,113Professionalmedian $4,677 · 10th to 90th $1,820 to $6,026
$1.0$10.0$100.0$1.0K$10.0Kfacility $6,166professional $4,677

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
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,754.23
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$15,488.17
Typical High
$41,686.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,370.32
Typical High
$6,025.60
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,982.44
Typical High
$33,113.11
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,073.80
Typical High
$19,054.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$2,290.87
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,137.96
Typical High
$4,786.30

Where Minnesota 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.

Minnesota $4,677 · 2nd 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.