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Prosthetic Sheath, Above Knee

New Jersey rates for HCPCS L8410

Prosthetic sheath, above knee (AK), each

Rates data updated October 2026.

How much does Prosthetic Sheath, Above Knee cost?

$15.14

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $16.60 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.14$12.02 to $30.90
FacilityA hospital or hospital-owned outpatient department$16.60$12.88 to $16.60

How much rates vary

Facilitymedian $17 · 10th to 90th $13 to $29Professionalmedian $15 · 10th to 90th $11 to $31
$10$20facility $17professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$12.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$13.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.62
Median
$5.62
Typical High
$6.61
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.24
Median
$2.24
Typical High
$2.63
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.70
Median
$1.70
Typical High
$2.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.12
Median
$1.12
Typical High
$1.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$30.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$16.60
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$40.74
Typical High
$40.74
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
United
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$16.22
Typical High
$28.84
United
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$16.60
Typical High
$29.51

Where New Jersey sits

The same service costs 3.0 times more in Hawaii than in Delaware. 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.

New Jersey· 39th of 51

$15.14

HI $36.31DE $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.