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Prosthetic Sheath, Below Knee

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $14.13 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$11.22$10.23 to $16.98
FacilityA hospital or hospital-owned outpatient department$14.13$10.23 to $20.42

How much rates vary

Facilitymedian $14 · 10th to 90th $10 to $28Professionalmedian $11 · 10th to 90th $10 to $17
$10$20$50facility $14professional $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
$10.23
Median
$10.23
Typical High
$10.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.96
Typical High
$16.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$20.89
Typical High
$23.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$21.88
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$14.45
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$21.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$12.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$16.22
Typical High
$36.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$14.13
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.22
Typical High
$14.45

Where South 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.

South Carolina· 28th 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.