go back

Unclassified Prosthetic Implant

Pennsylvania rates for HCPCS L8699

Prosthetic implant, not otherwise specified

Rates data updated July 2026.

How much does Unclassified Prosthetic Implant cost?

$1,000

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $1,000 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$275 to $4,898
FacilityA hospital or hospital-owned outpatient department$1,000$550 to $3,548

How much rates vary

Facilitymedian $1,000 · 10th to 90th $55 to $5,495Professionalmedian $550 · 10th to 90th $229 to $11,749
$100$1K$10K$100Kfacility $1,000professional $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
$53.70
Median
$1,000.00
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$2,089.30
Typical High
$11,748.98
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$93,325.43
Median
$190,546.07
Typical High
$251,188.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$1,000.00
Typical High
$8,511.38
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$93,325.43
Median
$144,543.98
Typical High
$257,039.58
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$977.24
Typical High
$4,786.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$2,089.30
Typical High
$8,912.51
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$14,125.38
Typical High
$17,782.79
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,388.44
Typical High
$5,495.41

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$1,000

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.