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Metacarpophalangeal Joint Implant

Ohio rates for HCPCS L8630

Metacarpophalangeal joint implant

Rates data updated July 2026.

How much does Metacarpophalangeal Joint Implant cost?

$269

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $282 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$269$257 to $389
FacilityA hospital or hospital-owned outpatient department$282$263 to $339

How much rates vary

Facilitymedian $282 · 10th to 90th $251 to $550Professionalmedian $269 · 10th to 90th $200 to $575
$1.0$10.0$100.0$1.0Kfacility $282professional $269

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$707.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$346.74
Typical High
$489.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$245.47
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$263.03
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$512.86
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$346.74

Where Ohio sits

The same service costs 3.0 times more in Minnesota than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Ohio $269 · 20th of 51
MN $537NE $178

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.