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Prosthetic Sheath, Below Knee

Massachusetts rates for HCPCS L8400

Prosthetic sheath, below knee (BK), each

Rates data updated July 2026.

How much does Prosthetic Sheath, Below Knee cost?

$18.62

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $18.62 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 9 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$18.62$10.47 to $18.62
FacilityA hospital or hospital-owned outpatient department$16.98$12.59 to $42.66

How much rates vary

Facilitymedian $17 · 10th to 90th $9 to $83Professionalmedian $19 · 10th to 90th $9 to $29
$10$100$1Kfacility $17professional $19

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
$9.33
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.23
Typical High
$32.36
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$21.88
Typical High
$123.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$16.98
Typical High
$26.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$14.45
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$15.49
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$28.18
Health New England
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Health New England
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$21.88
Typical High
$123.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$16.98
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$14.13
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$17.38
Typical High
$19.05

Where Massachusetts 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.

Massachusetts· 6th of 51

$18.62

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.