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Prosthetic Sheath, Upper Limb

Missouri rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$16.98

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $23.99 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$15.85$14.45 to $21.38
FacilityA hospital or hospital-owned outpatient department$23.99$19.50 to $29.51

How much rates vary

Facilitymedian $24 · 10th to 90th $13 to $52Professionalmedian $16 · 10th to 90th $12 to $35
$10$20$50$100facility $24professional $16

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
$13.49
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$19.95
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$26.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$16.22
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$22.91
Typical High
$66.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$23.99
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.45
Typical High
$21.38

Where Missouri 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.

Missouri· 19th of 51

$16.98

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.