go back

Unclassified Prosthetic Implant

New York rates for HCPCS L8699

Prosthetic implant, not otherwise specified

Rates data updated July 2026.

How much does Unclassified Prosthetic Implant cost?

$550

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $661 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 8 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$550$269 to $4,898
FacilityA hospital or hospital-owned outpatient department$661$126 to $1,950

How much rates vary

Facilitymedian $661 · 10th to 90th $48 to $7,762Professionalmedian $550 · 10th to 90th $71 to $11,749
$10$100$1K$10Kfacility $661professional $550

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
$47.86
Median
$660.69
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$2,089.30
Typical High
$11,748.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$2,511.89
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$3,890.45
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10

Where New York 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.

New York· 32nd of 51

$550

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.