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Prosthetic Sheath, Upper Limb

Colorado rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$14.13

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $21.38 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 7 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$14.13$12.59 to $16.60
FacilityA hospital or hospital-owned outpatient department$21.38$14.13 to $28.84

How much rates vary

Facilitymedian $21 · 10th to 90th $8 to $38Professionalmedian $14 · 10th to 90th $12 to $21
$10$20$50$100facility $21professional $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
$14.13
Median
$14.13
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.13
Typical High
$21.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$34.67
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.49
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$26.92
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$21.38
Typical High
$37.15
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.84
Typical High
$70.79
Select Health
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$53.70
Typical High
$60.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$19.05
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.88
Typical High
$19.50

Where Colorado sits

The same service costs 2.6 times more in Hawaii than in Tennessee. 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.

Colorado· 40th of 51

$14.13

HI $32.36TN $12.30

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.