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Prosthetic Sheath, Upper Limb

South Dakota rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$27.54

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 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 7 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$27.54$22.91 to $30.20
FacilityA hospital or hospital-owned outpatient department$27.54$21.38 to $34.67

How much rates vary

Facilitymedian $28 · 10th to 90th $20 to $55Professionalmedian $28 · 10th to 90th $20 to $37
$10$20$50$100facility $28professional $28

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$22.91
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$37.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$19.50
Typical High
$162.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$32.36
Midlands
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$51.29
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$28.18
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.50
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$19.50
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84

Where South Dakota 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.

South Dakota· 4th of 51

$27.54

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.