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Prosthetic Sheath, Upper Limb

Georgia rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$15.49

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $26.30 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 6 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$15.49$12.30 to $21.38
FacilityA hospital or hospital-owned outpatient department$26.30$11.48 to $39.81

How much rates vary

Facilitymedian $26 · 10th to 90th $11 to $95Professionalmedian $15 · 10th to 90th $11 to $26
$10$20$50$100facility $26professional $15

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
$10.72
Median
$10.72
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.59
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$61.66
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$21.38
Typical High
$34.67
CareSource
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$31.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$19.50
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.88
Typical High
$25.12

Where Georgia 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.

Georgia· 34th of 51

$15.49

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.