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Prosthetic Sheath, Upper Limb

Michigan 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 Michigan, 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 $34.67 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 7 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$13.80 to $25.70
FacilityA hospital or hospital-owned outpatient department$34.67$16.22 to $67.61

How much rates vary

Facilitymedian $35 · 10th to 90th $15 to $105Professionalmedian $15 · 10th to 90th $12 to $26
$1$10$100facility $35professional $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
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$77.62
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.70
Typical High
$26.92
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
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
$16.22
Typical High
$31.62
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$48.98
Typical High
$54.95
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$20.42
Typical High
$31.62
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.39
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$20.89
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.88
Typical High
$19.50

Where Michigan 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.

Michigan· 27th 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.