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Miscellaneous Prosthetic Services

Wisconsin rates for HCPCS L8499

Unlisted procedure for miscellaneous prosthetic services

Rates data updated July 2026.

How much does Miscellaneous Prosthetic Services cost?

$75.86

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 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 9 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$75.86$75.86 to $75.86
FacilityA hospital or hospital-owned outpatient department$148$145 to $417

How much rates vary

Facilitymedian $148 · 10th to 90th $54 to $417Professionalmedian $76 · 10th to 90th $55 to $76
$10$100$1Kfacility $148professional $76

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
$144.54
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$1.58
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$208.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$147.91
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70

Where Wisconsin 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.

Wisconsin· 21st of 47

$75.86

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.