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Prosthetic Sheath, Above Knee

Rhode Island rates for HCPCS L8410

Prosthetic sheath, above knee (AK), each

Rates data updated July 2026.

How much does Prosthetic Sheath, Above Knee cost?

$16.22

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $54.95 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 4 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$16.22$14.45 to $19.50
FacilityA hospital or hospital-owned outpatient department$54.95$19.05 to $69.18

How much rates vary

Facilitymedian $55 · 10th to 90th $19 to $78Professionalmedian $16 · 10th to 90th $14 to $22
$10.0$20.0$50.0$100.0facility $55professional $16

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.45
Typical High
$19.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.88
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.05
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$19.05
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$27.54

Where Rhode Island 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.

Rhode Island $16.22 · 24th 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.