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Prosthetic Sheath, Above Knee

Pennsylvania 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 Pennsylvania, 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 $43.65 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 9 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$12.30 to $19.05
FacilityA hospital or hospital-owned outpatient department$43.65$13.18 to $67.61

How much rates vary

Facilitymedian $44 · 10th to 90th $12 to $100Professionalmedian $14 · 10th to 90th $11 to $28
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $44professional $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
$12.30
Median
$12.30
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$20.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$16.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$40.74
Typical High
$58.88
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.95
Typical High
$28.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$47.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.80
Typical High
$23.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$67.61
Typical High
$107.15
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$23.44
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$30.20

Where Pennsylvania 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.

Pennsylvania $13.80 · 42nd 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.