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Unclassified Prosthetic Implant

Ohio rates for HCPCS L8699

Prosthetic implant, not otherwise specified

Rates data updated July 2026.

How much does Unclassified Prosthetic Implant cost?

$479

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $398 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$513$229 to $4,898
FacilityA hospital or hospital-owned outpatient department$398$27.54 to $1,148

How much rates vary

Facilitymedian $398 · 10th to 90th $20 to $2,344Professionalmedian $513 · 10th to 90th $65 to $8,913
$0.1$1$10$100$1K$10Kfacility $398professional $513

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
$20.42
Median
$467.74
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$2,238.72
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$107.15
Typical High
$1,698.24
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$60.26

Where Ohio 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.

Ohio· 44th of 51

$479

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.