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Prosthetic Sheath, Below Knee

Michigan rates for HCPCS L8400

Prosthetic sheath, below knee (BK), each

Rates data updated July 2026.

How much does Prosthetic Sheath, Below Knee cost?

$12.02

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $25.70 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$11.48$10.72 to $19.05
FacilityA hospital or hospital-owned outpatient department$25.70$12.59 to $50.12

How much rates vary

Facilitymedian $26 · 10th to 90th $11 to $76Professionalmedian $11 · 10th to 90th $9 to $19
$1$10$100facility $26professional $11

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
$10.72
Median
$10.72
Typical High
$10.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.72
Typical High
$12.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$57.54
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.05
Typical High
$19.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.45
Typical High
$23.44
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$35.48
Typical High
$39.81
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$22.91
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$15.49
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$14.45

Where Michigan 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.

Michigan· 27th of 51

$12.02

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.