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Prosthetic Shrinker, Upper Limb

Virginia rates for HCPCS L8465

Prosthetic shrinker, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Shrinker, Upper Limb cost?

$37.15

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $72.44 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 $44.67
FacilityA hospital or hospital-owned outpatient department$72.44$47.86 to $72.44

How much rates vary

Facilitymedian $72 · 10th to 90th $37 to $91Professionalmedian $37 · 10th to 90th $32 to $66
$20$100$500$2K$10Kfacility $72professional $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
$37.15
Median
$37.15
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$37.15
Typical High
$38.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$74.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$37.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$100.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$70.79
Medcost
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$46.77
Typical High
$85.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$38.90
Typical High
$46.77
Sentara
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$208.93
Sentara
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$43.65
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$54.95

Where Virginia 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.

Virginia· 28th of 51

$37.15

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.