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Prosthetic Sheath, Above Knee

New Jersey rates for HCPCS L8410

Prosthetic sheath, above knee (AK), each

Rates data updated July 2026.

How much does Prosthetic Sheath, Above Knee cost?

$13.80

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $11.22 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 5 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$13.80$12.02 to $19.95
FacilityA hospital or hospital-owned outpatient department$11.22$11.22 to $18.62

How much rates vary

Facilitymedian $11 · 10th to 90th $11 to $31Professionalmedian $14 · 10th to 90th $11 to $30
$10.0$20.0$50.0$100.0facility $11professional $14

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
$11.22
Median
$11.22
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.18
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$16.60
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$16.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$29.51
Typical High
$40.74
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$19.05
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$29.51

Where New Jersey 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.

New Jersey $13.80 · 41st 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.