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Unclassified Prosthetic Implant

Texas 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 Texas, 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 $117 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 7 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$117$117 to $269

How much rates vary

Facilitymedian $117 · 10th to 90th $117 to $3,162Professionalmedian $229 · 10th to 90th $229 to $269
$50$200$1K$5Kfacility $117professional $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
Christus
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
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
$269.15
Moda Health
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$794.33
Typical High
$5,248.07
Moda Health
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$2,089.30
Typical High
$8,912.51
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Providence
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Providence
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$269.15
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Providence
Setting
Professional
Modifier
RR · Rental
Typical Low
$26.92
Median
$26.92
Typical High
$26.92

Where Texas 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.

Texas· 32nd 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.