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Prosthetic Sheath, Below Knee

Iowa rates for HCPCS L8400

Prosthetic sheath, below knee (BK), each

Rates data updated July 2026.

How much does Prosthetic Sheath, Below Knee cost?

$15.85

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $16.98 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 7 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$15.85$9.77 to $19.05
FacilityA hospital or hospital-owned outpatient department$16.98$14.45 to $30.20

How much rates vary

Facilitymedian $17 · 10th to 90th $13 to $52Professionalmedian $16 · 10th to 90th $9 to $27
$10$20$50$100facility $17professional $16

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
$9.77
Median
$15.85
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.13
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$21.88
Typical High
$26.92
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$30.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$28.18
Typical High
$102.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$14.13
Typical High
$37.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$25.70
Typical High
$29.51
Midlands
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$37.15
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$15.85
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$19.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$21.88
Typical High
$21.88

Where Iowa sits

The same service costs 3.2 times more in Hawaii than in Nebraska. 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.

Iowa· 14th of 51

$15.85

HI $31.62NE $9.77

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.