go back

Prosthetic Sheath, Below Knee

New Jersey rates for HCPCS L8400

Prosthetic sheath, below knee (BK), each

Rates data updated October 2026.

How much does Prosthetic Sheath, Below Knee cost?

$12.59

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $14.45 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.59$9.77 to $25.70
FacilityA hospital or hospital-owned outpatient department$14.45$12.59 to $14.45

How much rates vary

Facilitymedian $14 · 10th to 90th $13 to $22Professionalmedian $13 · 10th to 90th $9 to $26
$10$20facility $14professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$10.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$4.68
Median
$4.68
Typical High
$5.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.86
Median
$1.86
Typical High
$2.19
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.38
Median
$1.38
Typical High
$1.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.93
Median
$0.93
Typical High
$1.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$25.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$14.45
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$33.88
Typical High
$33.88
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.88
Typical High
$21.88
United
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$13.49
Typical High
$24.55

Where New Jersey sits

The same service costs 3.0 times more in Hawaii than in Delaware. 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.

New Jersey· 41st of 51

$12.59

HI $31.62DE $10.47

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.