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Prosthetic Sheath, Upper Limb

Montana rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$23.99

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $27.54 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 5 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$23.44$13.80 to $27.54
FacilityA hospital or hospital-owned outpatient department$27.54$22.91 to $29.51

How much rates vary

Facilitymedian $28 · 10th to 90th $19 to $35Professionalmedian $23 · 10th to 90th $8 to $83
$10$20$50$100facility $28professional $23

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
Professional
Modifier
Global
Typical Low
$8.32
Median
$21.38
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$29.51
Typical High
$29.51
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$53.70
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$53.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$26.30
Typical High
$37.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$29.51
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.50
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.88
Typical High
$19.95

Where Montana 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.

Montana· 12th of 51

$23.99

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.