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Orbital Prosthesis, Provided by a Nonphysician

Oregon 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?

$3,162

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $3,715 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$3,020$2,188 to $3,890
FacilityA hospital or hospital-owned outpatient department$3,715$3,162 to $3,890

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,818 to $3,981Professionalmedian $3,020 · 10th to 90th $1,820 to $4,467
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $3,715professional $3,020

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
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
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
$2,754.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$7,943.28
Typical High
$9,772.37
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,884.03
Typical High
$3,981.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,235.94
Typical High
$4,466.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,890.45
Typical High
$3,981.07
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$4,365.16
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,388.44
Typical High
$4,786.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,467.37
Typical High
$4,168.69
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,168.69
Typical High
$15,488.17
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$1,380.38
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$3,467.37

Where Oregon 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.

Oregon $3,162 · 11th 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.