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Pennsylvania rates for HCPCS L8699

Prosthetic implant, not otherwise specified

Facilitymedian $2,630 · 10th–90th $107–$9,5500%10%10th90th$2,630Professionalmedian $2,239 · 10th–90th $65–$8,9130%10%10th90th$2,239$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $2,630.27 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $2,290.87 / $8,912.51
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $190,546.07 / $251,188.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,047.13 / $8,511.38
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $147,910.84 / $288,403.15
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $14,125.38 / $17,782.79