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Prosthetic Sheath, Above Knee

Michigan rates for HCPCS L8410

Prosthetic sheath, above knee (AK), each

Rates data updated July 2026.

How much does Prosthetic Sheath, Above Knee cost?

$15.85

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $33.88 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$14.79$13.80 to $25.12
FacilityA hospital or hospital-owned outpatient department$33.88$16.22 to $66.07

How much rates vary

Facilitymedian $34 · 10th to 90th $14 to $100Professionalmedian $15 · 10th to 90th $12 to $25
$0.1$1.0$10.0$100.0facility $34professional $15

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
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$74.13
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$25.12
Typical High
$26.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.60
Typical High
$30.90
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$46.77
Typical High
$52.48
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.95
Typical High
$30.20
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$21.88
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$20.42
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$19.05

Where Michigan 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.

Michigan $15.85 · 27th 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.