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Prosthetic Sheath, Upper Limb

Maine rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$19.50

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $35.48 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$19.50$15.49 to $30.20
FacilityA hospital or hospital-owned outpatient department$35.48$20.42 to $40.74

How much rates vary

Facilitymedian $35 · 10th to 90th $16 to $44Professionalmedian $19 · 10th to 90th $13 to $30
$10$20$50facility $35professional $19

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
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.49
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$40.74
Typical High
$46.77
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$16.22
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$36.31
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$15.49
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$16.98
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$28.84
Typical High
$30.20

Where Maine 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.

Maine· 16th of 51

$19.50

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.