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New York rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Facilitymedian $3,467 · 10th–90th $1,445–$8,1280%10%10th90th$3,467Professionalmedian $2,291 · 10th–90th $1,778–$6,0260%20%40%10th90th$2,291$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
$1,621.81 / $3,548.13 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,995.26 / $3,311.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $9,120.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,290.87 / $6,456.54
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,548.13 / $3,715.35
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,548.13 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $4,677.35
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,413.10 / $17,378.01
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,786.30 / $8,511.38
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,818.38 / $3,162.28
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,365.16 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,884.03 / $7,413.10
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,691.53 / $2,691.53
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,691.53 / $2,818.38