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Prosthetic Sheath, Below Knee

North Carolina rates for HCPCS L8400

Prosthetic sheath, below knee (BK), each

Rates data updated July 2026.

How much does Prosthetic Sheath, Below Knee cost?

$16.98

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $16.98 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$16.98$11.22 to $17.38
FacilityA hospital or hospital-owned outpatient department$16.98$14.13 to $23.44

How much rates vary

Facilitymedian $17 · 10th to 90th $10 to $39Professionalmedian $17 · 10th to 90th $10 to $17
$10$20$50$100facility $17professional $17

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
$16.98
Median
$16.98
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$16.98
Typical High
$16.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$17.38
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$22.39
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$14.45
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$15.85
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.55
Typical High
$13.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$17.78
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$14.79
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.22
Typical High
$15.14
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$190.55

Where North Carolina 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.

North Carolina· 11th of 51

$16.98

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.