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Hallux Implant

West Virginia rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$209

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $191 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 4 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$209$191 to $209
FacilityA hospital or hospital-owned outpatient department$191$191 to $224

How much rates vary

Facilitymedian $191 · 10th to 90th $191 to $316Professionalmedian $209 · 10th to 90th $191 to $263
$200.0$500.0$1.0Kfacility $191professional $209

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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$489.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$223.87
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$323.59

Where West Virginia sits

The same service costs 3.3 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $209 · 26th of 51
KS $501NE $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.