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Prosthetic Sheath, Above Knee

North Carolina rates for HCPCS L8410

Prosthetic sheath, above knee (AK), each

Rates data updated July 2026.

How much does Prosthetic Sheath, Above Knee cost?

$19.05

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $20.42 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$19.05$14.79 to $19.95
FacilityA hospital or hospital-owned outpatient department$20.42$17.38 to $28.18

How much rates vary

Facilitymedian $20 · 10th to 90th $12 to $51Professionalmedian $19 · 10th to 90th $12 to $20
$0.1$1.0$10.0$100.0$1.0Kfacility $20professional $19

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
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$19.05
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$38.02
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$16.60
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$18.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.80
Typical High
$18.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$21.38
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$19.05
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$229.09

Where North Carolina 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.

North Carolina $19.05 · 14th 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.