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Miscellaneous Prosthetic Services

Washington rates for HCPCS L8499

Unlisted procedure for miscellaneous prosthetic services

Rates data updated July 2026.

How much does Miscellaneous Prosthetic Services cost?

$1,096

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $1,096 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 5 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$85.11$64.57 to $93.33
FacilityA hospital or hospital-owned outpatient department$1,096$1,096 to $1,096

How much rates vary

Facilitymedian $1,096 · 10th to 90th $1,096 to $1,096Professionalmedian $85 · 10th to 90th $1 to $1,096
$1$10$100$1Kfacility $1,096professional $85

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
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$0.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$93.33
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70

Where Washington 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.

Washington· 9th of 47

$1,096

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.