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Metacarpophalangeal Joint Implant

Pennsylvania rates for HCPCS L8630

Metacarpophalangeal joint implant

Rates data updated July 2026.

How much does Metacarpophalangeal Joint Implant cost?

$200

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $309 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$200$182 to $263
FacilityA hospital or hospital-owned outpatient department$309$182 to $1,549

How much rates vary

Facilitymedian $309 · 10th to 90th $182 to $4,898Professionalmedian $200 · 10th to 90th $166 to $363
$1.0$10.0$100.0$1.0K$10.0Kfacility $309professional $200

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
$181.97
Median
$181.97
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$363.08
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
$223.87
Median
$331.13
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$776.25
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$416.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$4,897.79
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$302.00
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,412.54
Typical High
$2,290.87
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$416.87

Where Pennsylvania 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.

Pennsylvania $200 · 43rd 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.