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Prosthetic Shrinker, Upper Limb

Ohio 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 Ohio, 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 $77.62 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$37.15$35.48 to $51.29
FacilityA hospital or hospital-owned outpatient department$77.62$48.98 to $87.10

How much rates vary

Facilitymedian $78 · 10th to 90th $36 to $129Professionalmedian $37 · 10th to 90th $27 to $79
$20$50$100$200facility $78professional $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
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$97.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$66.07
Typical High
$93.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$41.69
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$38.90
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$37.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$44.67
Typical High
$64.57
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$60.26
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$48.98

Where Ohio 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.

Ohio· 22nd 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.