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Miscellaneous Prosthetic Services

North Carolina rates for HCPCS L8499

Unlisted procedure for miscellaneous prosthetic services

Rates data updated July 2026.

How much does Miscellaneous Prosthetic Services cost?

$12,023

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $12,023 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $12,023 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$52.48$37.15 to $240
FacilityA hospital or hospital-owned outpatient department$12,023$12,023 to $12,023

How much rates vary

Facilitymedian $12,023 · 10th to 90th $148 to $12,023Professionalmedian $52 · 10th to 90th $1 to $240
$1$10$100$1K$10Kfacility $12,023professional $52

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
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$239.88
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$147.91

Where North Carolina sits

The same service costs 22908676.5 times more in Arkansas than in Indiana. 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.

North Carolina· 3rd of 47

$12,023

AR $457,088IN $0.02

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.