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Unclassified Prosthetic Implant

North Carolina rates for HCPCS L8699

Prosthetic implant, not otherwise specified

Rates data updated July 2026.

How much does Unclassified Prosthetic Implant cost?

$2,042

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $2,042 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 5 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$589$479 to $7,586
FacilityA hospital or hospital-owned outpatient department$2,042$676 to $3,467

How much rates vary

Facilitymedian $2,042 · 10th to 90th $58 to $6,310Professionalmedian $589 · 10th to 90th $229 to $11,749
$50$200$1K$5Kfacility $2,042professional $589

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
$57.54
Median
$2,041.74
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$2,089.30
Typical High
$11,748.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$269.15
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56

Where North Carolina sits

The same service costs 63.1 times more in Iowa than in Maine. 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.

North Carolina· 15th of 51

$2,042

IA $2,239ME $35.48

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.