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Prosthetic Sheath, Upper Limb

Pennsylvania rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$13.80

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $42.66 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 8 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$13.49$12.30 to $19.05
FacilityA hospital or hospital-owned outpatient department$42.66$13.18 to $61.66

How much rates vary

Facilitymedian $43 · 10th to 90th $12 to $98Professionalmedian $13 · 10th to 90th $11 to $26
$10$100$1K$10Kfacility $43professional $13

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
$12.30
Median
$12.30
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.49
Typical High
$21.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
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
$16.22
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.90
Typical High
$56.23
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$28.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$46.77
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$21.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$66.07
Typical High
$107.15
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$24.55
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$34.67
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$29.51

Where Pennsylvania 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.

Pennsylvania· 41st of 51

$13.80

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.