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Orbital Prosthesis, Provided by a Nonphysician

Utah 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?

$2,754

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $2,344 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 7 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$2,754$1,698 to $3,890
FacilityA hospital or hospital-owned outpatient department$2,344$1,175 to $3,715

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,175 to $3,802Professionalmedian $2,754 · 10th to 90th $1,175 to $18,197
$50.0$200.0$1.0K$5.0Kfacility $2,344professional $2,754

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
$1,174.90
Median
$1,174.90
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,698.24
Typical High
$18,197.01
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
$3,235.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$2,818.38
Typical High
$3,548.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,801.89
Typical High
$3,801.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$4,466.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,801.89
Typical High
$4,073.80
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,890.45
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,290.87
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$2,754.23

Where Utah 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.

Utah $2,754 · 17th 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.