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Prosthetic Sheath, Upper Limb

North Carolina rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$19.05

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $20.89 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$19.05$14.45 to $19.50
FacilityA hospital or hospital-owned outpatient department$20.89$17.78 to $28.84

How much rates vary

Facilitymedian $21 · 10th to 90th $12 to $51Professionalmedian $19 · 10th to 90th $11 to $20
$10$20$50$100facility $21professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$19.05
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$25.70
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$18.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$18.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$21.38
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$20.42
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.88
Typical High
$19.95
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$218.78

Where North Carolina 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.

North Carolina· 17th of 51

$19.05

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.