Unlisted miscellaneous prosthetic service

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

UNLISTED MISC PROSTHETIC SER

Payers reporting HCPCS L8499

Payer pricing summary

Low

Average

$217

Median

$86

High

$3.1k

Payer rate distribution

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#
1	MultiPlan facility · percent of total billed charges · bothfrom % of charges · +8 other terms	36	$98	$103	$31	30%	—	$42 – $201
2	First Health facility · percent of total billed charges · bothfrom % of charges · +4 other terms	35	$92	$92	$41	44%	—	$31 – $310
3	Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +1 other terms	31	$94	$87	$26	31%	—	$31 – $145
4	Wellmark facility · percent of total billed charges · bothfrom % of charges	30	$63	$78	$45	58%	—	$30 – $211
5	Phcs facility · percent of total billed charges · bothfrom % of charges · +3 other terms	29	$98	$93	$20	22%	—	$42 – $138
6	Excellus facility · percent of total billed charges · bothfrom % of charges · +1 other terms	27	$70	$81	$41	50%	—	$31 – $211
7	Carefirst facility · percent of total billed charges · bothfrom % of charges	26	$67	$79	$46	58%	—	$31 – $211
8	Highmark facility · percent of total billed charges · bothfrom % of charges	26	$67	$71	$38	53%	—	$31 – $211
9	Premera facility · percent of total billed charges · bothfrom % of charges	25	$68	$81	$47	59%	—	$31 – $211
10	Regence facility · percent of total billed charges · bothfrom % of charges	25	$68	$81	$48	59%	—	$31 – $211
11	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	22	$232	$471	$397	84%	—	$42 – $1.3k
12	Molina facility · case rate · outpatient · +6 other terms	18	$16	$37	$44	121%	—	$11 – $135
13	Kaiser facility · percent of total billed charges · bothfrom % of charges · +3 other terms	17	$68	$72	$25	34%	—	$31 – $122
14	Anthem facility · case rate · outpatient · +10 other terms	15	$15	$17	$4	23%	—	$10 – $26
15	Caresource facility · case rate · outpatient · +2 other terms	15	$16	$17	$4	23%	—	$10 – $27
16	UnitedHealthcare facility · case rate · outpatient · +11 other terms	15	$16	$17	$4	23%	—	$11 – $27
17	Medcost facility · percent of total billed charges · bothfrom % of charges · +3 other terms	14	$78	$80	$22	28%	—	$50 – $121
18	Medica facility · percent of total billed charges · bothfrom % of charges · +5 other terms	13	$106	$101	$20	20%	—	$67 – $149
19	Oscar facility · percent of total billed charges · bothfrom % of charges · +3 other terms	13	$41	$48	$14	30%	—	$28 – $90
20	Optum facility · case rate · outpatient · +7 other terms	11	$14	$16	$4	22%	—	$13 – $24
21	Cigna professional · fee schedule · outpatient · +11 other terms	10	$1	$4	$5	121%	—	$1 – $14
22	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$38	$38	—	—	—	$38 – $38
23	Magellan facility · percent of total billed charges · bothfrom % of charges	9	$84	$91	$55	60%	—	$31 – $211
24	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	9	$146	$146	$60	41%	—	$86 – $206
25	Humana fee schedule · outpatient · +5 other terms	7	$4	$3	$1	33%	—	$1 – $4

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