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Prosthetic Sheath, Upper Limb

Massachusetts rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$27.54

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $19.95 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 9 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$27.54$15.14 to $30.20
FacilityA hospital or hospital-owned outpatient department$19.95$15.14 to $34.67

How much rates vary

Facilitymedian $20 · 10th to 90th $15 to $107Professionalmedian $28 · 10th to 90th $13 to $46
$10$100$1Kfacility $20professional $28

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
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$15.14
Typical High
$47.86
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$32.36
Typical High
$138.04
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$26.92
Typical High
$41.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$19.95
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$20.42
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$45.71
Health New England
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$32.36
Typical High
$138.04
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$26.92
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$19.50
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$26.30
Typical High
$30.20

Where Massachusetts 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.

Massachusetts· 3rd of 51

$27.54

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.