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Hallux Implant

West Virginia rates for HCPCS L8642

Hallux implant

Rates data updated October 2026.

How much does Hallux Implant cost?

$257

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$191 to $282
FacilityA hospital or hospital-owned outpatient department$302$302 to $302

How much rates vary

Facilitymedian $302 · 10th to 90th $234 to $316Professionalmedian $257 · 10th to 90th $191 to $437
$200$500$1Kfacility $302professional $257

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
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
CareSource
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
CareSource
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$436.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$1,698.24
United
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$436.52

Where West Virginia 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.

West Virginia· 31st of 51

$257

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.