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Orbital Prosthesis, Provided by a Nonphysician

Ohio 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?

$2,291

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $2,291 for this service. The price depends on where it is billed: about $2,188 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 8 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$2,188$1,950 to $2,884
FacilityA hospital or hospital-owned outpatient department$4,169$2,692 to $4,467

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,660 to $6,166Professionalmedian $2,188 · 10th to 90th $1,820 to $4,169
$1.0$10.0$100.0$1.0K$10.0Kfacility $4,169professional $2,188

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
$1,995.26
Median
$1,995.26
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,344.23
Typical High
$5,248.07
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,818.38
Typical High
$4,570.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,570.40
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,235.94
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,388.44
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$3,019.95
Typical High
$4,365.16
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,570.40
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,041.74
Typical High
$2,884.03

Where Ohio 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.

Ohio $2,291 · 25th 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.