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Prosthetic Sheath, Upper Limb

New York rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$16.22

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $19.05 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 9 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$16.22$14.79 to $21.38
FacilityA hospital or hospital-owned outpatient department$19.05$16.60 to $30.20

How much rates vary

Facilitymedian $19 · 10th to 90th $13 to $44Professionalmedian $16 · 10th to 90th $11 to $41
$10$100$1K$10Kfacility $19professional $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
$10.72
Median
$13.49
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.18
Typical High
$21.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.22
Typical High
$43.65
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$23.99
Typical High
$23.99
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$17.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$48.98
Typical High
$112.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$56.23
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.95
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$18.62
Typical High
$19.05
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.18
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$19.50
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.05
Typical High
$48.98
Univera
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$18.20
Typical High
$19.95
Univera
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$18.62
Typical High
$19.05

Where New York 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.

New York· 24th of 51

$16.22

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.