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Prosthetic Sheath, Upper Limb

Washington, DC rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$14.45

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $14.45 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$14.45$13.80 to $16.60
FacilityA hospital or hospital-owned outpatient department$14.45$14.45 to $14.45

How much rates vary

Facilitymedian $14 · 10th to 90th $14 to $42Professionalmedian $14 · 10th to 90th $13 to $17
$10$20facility $14professional $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. 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
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$14.45
Typical High
$16.60
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$19.05
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
$17.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$23.99
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$14.45
Typical High
$21.38

Where Washington, DC 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.

Washington, DC· 37th of 51

$14.45

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.