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Prosthetic Sheath, Upper Limb

Idaho rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$23.99

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $29.51 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 8 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$23.44$15.49 to $31.62
FacilityA hospital or hospital-owned outpatient department$29.51$22.91 to $31.62

How much rates vary

Facilitymedian $30 · 10th to 90th $16 to $43Professionalmedian $23 · 10th to 90th $12 to $36
$10$20$50$100facility $30professional $23

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
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.89
Typical High
$27.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$36.31
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$16.22
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$25.70
Typical High
$33.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$33.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$31.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$36.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$33.11
Typical High
$50.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$31.62
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$19.05
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.88
Typical High
$19.95

Where Idaho 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.

Idaho· 11th of 51

$23.99

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.