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Minnesota rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Facilitymedian $30 · 10th–90th $21$1910%20%10th90th$30Professionalmedian $26 · 10th–90th $12$300%50%10th90th$26$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $19.05 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $97.72 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.88 / $38.02
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $95.50 / $190.55
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $40.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $25.70 / $134.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.88 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $16.98 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $15.14 / $35.48