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Prosthetic Sheath, Above Knee

Illinois rates for HCPCS L8410

Prosthetic sheath, above knee (AK), each

Rates data updated July 2026.

How much does Prosthetic Sheath, Above Knee cost?

$18.62

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $25.12 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 6 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$18.20$12.30 to $20.42
FacilityA hospital or hospital-owned outpatient department$25.12$12.30 to $45.71

How much rates vary

Facilitymedian $25 · 10th to 90th $12 to $129Professionalmedian $18 · 10th to 90th $12 to $27
$0.1$1.0$10.0$100.0facility $25professional $18

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
$12.30
Median
$12.30
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.18
Typical High
$25.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$48.98
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$28.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$31.62
Typical High
$39.81
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$20.42
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$22.39

Where Illinois sits

The same service costs 3.0 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $18.62 · 18th of 51
HI $36.31NE $12.02

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.