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Orbital Prosthesis, Provided by a Nonphysician

Nebraska 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?

$1,738

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $3,020 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$1,738$1,698 to $2,188
FacilityA hospital or hospital-owned outpatient department$3,020$2,042 to $4,074

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,122 to $4,365Professionalmedian $1,738 · 10th to 90th $1,698 to $2,818
$1K$2K$5K$10Kfacility $3,020professional $1,738

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
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,737.80
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,677.35
Typical High
$7,762.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,073.80
Typical High
$19,054.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,290.87
Typical High
$3,890.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$10,000.00
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$9,332.54
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,630.27
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,137.96
Typical High
$2,951.21

Where Nebraska 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.

Nebraska· 51st of 51

$1,738

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.