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Orbital Prosthesis, Provided by a Nonphysician

Wyoming 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?

$2,399

Typical negotiated rate. In Wyoming, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $2,399 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 4 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$2,692$1,905 to $3,311
FacilityA hospital or hospital-owned outpatient department$2,399$1,259 to $2,951

How much rates vary

Facilitymedian $2,399 · 10th to 90th $955 to $3,715Professionalmedian $2,692 · 10th to 90th $1,905 to $3,467
$1.0K$2.0K$5.0Kfacility $2,399professional $2,692

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$3,467.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
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
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,290.87
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,819.70
Typical High
$2,754.23

Where Wyoming 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.

Wyoming $2,399 · 22nd 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.