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Medicated Implant Placed Inside A Joint

West Virginia rates for HCPCS 20704

Covers hand-mixing and shaping an implant that releases medication, commonly antibiotic-loaded cement formed into beads or a spacer, and placing it inside a joint during an operation so the drug is delivered straight to the tissue that needs it. The implant is temporary and is removed or exchanged at a later operation. It is billed in addition to the main procedure.

Rates data updated October 2026.

How much does Medicated Implant Placed Inside A Joint cost?

$353

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $353 for this procedure. That total is two separate charges: $191 to the doctor who performs it, and $162 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$191$151 to $245
Facility feeThe hospital or surgery center$162$100 to $457

How much rates vary

Facilitymedian $162 · 10th to 90th $100 to $1,230Professionalmedian $191 · 10th to 90th $120 to $427
$50$100$200$500$1Kfacility $162professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
CareSource
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$229.09
Typical High
$426.58
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
United
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$131.83
Typical High
$457.09
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$181.97
Typical High
$398.11

Where West Virginia sits

The same service costs 12.0 times more in Utah than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

West Virginia· 48th of 51

$353

$191 physician + $162 facility

UT $3,137FL $261

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.