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Prosthetic Shrinker, Upper Limb

Illinois rates for HCPCS L8465

Prosthetic shrinker, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Shrinker, Upper Limb cost?

$38.90

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $75.86 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$37.15$36.31 to $61.66
FacilityA hospital or hospital-owned outpatient department$75.86$36.31 to $135

How much rates vary

Facilitymedian $76 · 10th to 90th $36 to $380Professionalmedian $37 · 10th to 90th $30 to $76
$20$50$100$200$500facility $76professional $37

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
$36.31
Median
$36.31
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$36.31
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$75.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$60.26
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$37.15
Typical High
$61.66

Where Illinois sits

The same service costs 2.6 times more in Wisconsin than in Nebraska. 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.

Illinois· 21st of 51

$38.90

WI $75.86NE $28.84

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.