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Miscellaneous Prosthetic Services

Texas rates for HCPCS L8499

Unlisted procedure for miscellaneous prosthetic services

Rates data updated July 2026.

How much does Miscellaneous Prosthetic Services cost?

$50.12

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $148 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 8 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$30.20$30.20 to $30.20
FacilityA hospital or hospital-owned outpatient department$148$138 to $1,259

How much rates vary

Facilitymedian $148 · 10th to 90th $48 to $3,802Professionalmedian $30 · 10th to 90th $30 to $81
$50$100$200$500$1K$2K$5Kfacility $148professional $30

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$3,388.44
Typical High
$4,786.30
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$54.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$1,258.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89

Where Texas 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.

Texas· 33rd of 47

$50.12

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.