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Vermont rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Facilitymedian $2,692 · 10th–90th $1,148–$3,2360%20%40%10th90th$2,692Professionalmedian $2,089 · 10th–90th $1,698–$2,8180%20%10th90th$2,089$1.0K$2.0K$5.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,089.30 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $3,235.94
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,290.87 / $2,884.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,754.23 / $8,511.38