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Unclassified Prosthetic Implant

New York rates for HCPCS L8699

Prosthetic implant, not otherwise specified

Rates data updated October 2026.

How much does Unclassified Prosthetic Implant cost?

$229

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $269 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$229 to $229
FacilityA hospital or hospital-owned outpatient department$269$269 to $269

How much rates vary

Facilitymedian $269 · 10th to 90th $0 to $1,072Professionalmedian $229 · 10th to 90th $229 to $229
$0.1$1$10$100$1Kfacility $269professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,071.52
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Univera
Setting
Facility
Modifier
None
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
Univera
Setting
Professional
Modifier
None
Typical Low
$0.10
Median
$0.10
Typical High
$0.10

Where New York sits

The same service costs 120.2 times more in Iowa than in Wyoming. 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.

New York· 42nd of 51

$229

IA $9,120WY $75.86

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.