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Hallux Implant

Michigan rates for HCPCS L8642

Hallux implant

Rates data updated October 2026.

How much does Hallux Implant cost?

$302

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $302 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$214 to $372
FacilityA hospital or hospital-owned outpatient department$302$302 to $302

How much rates vary

Facilitymedian $302 · 10th to 90th $214 to $741Professionalmedian $302 · 10th to 90th $186 to $380
$200$500$1Kfacility $302professional $302

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$213.80
Median
$213.80
Typical High
$371.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$371.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$107.15
Median
$107.15
Typical High
$186.21
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$42.66
Median
$42.66
Typical High
$75.86
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$32.36
Median
$32.36
Typical High
$56.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$21.38
Median
$21.38
Typical High
$37.15
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$371.54
Typical High
$371.54
CareSource
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$302.00
Typical High
$380.19
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$741.31
Typical High
$794.33
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$302.00
Typical High
$380.19
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Priority Health
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Priority Health
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$309.03
Typical High
$380.19
United
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$177.83
Typical High
$263.03

Where Michigan sits

The same service costs 3.0 times more in Iowa than in New York. 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.

Michigan· 14th of 51

$302

IA $457NY $151

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.