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Miscellaneous Prosthetic Services

Pennsylvania rates for HCPCS L8499

Unlisted procedure for miscellaneous prosthetic services

Rates data updated July 2026.

How much does Miscellaneous Prosthetic Services cost?

$64,565

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $64,565 for this service. Most negotiated rates run $64,565 to $64,565.

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.

How much rates vary

Facilitymedian $5,012 · 10th to 90th $54 to $77,625Professionalmedian $64,565 · 10th to 90th $64,565 to $64,565
$100$1K$10Kfacility $5,012professional $64,565

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
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70

Where Pennsylvania 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.

Pennsylvania· 2nd of 47

$64,565

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.