Below-knee prosthetic sheath

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Prosthetic Sock Sheath

Payers reporting HCPCS L8400

Payer pricing summary

Low

Average

$36

Median

$24

High

$146

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	365	$23	$24	$12	50%	—	$9 – $142
2	Aetna fee schedule · outpatient · +18 other terms	364	$23	$26	$14	55%	—	$11 – $162
3	Humana fee schedule · outpatient · +18 other terms	320	$23	$31	$31	98%	—	$10 – $148
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	225	$24	$30	$16	55%	—	$0 – $99
5	WellCare fee schedule · outpatient · +10 other terms	208	$22	$22	$6	25%	—	$19 – $50
6	Devoted fee schedule · outpatient · +4 other terms	165	$20	$20	$2	9%	—	$19 – $26
7	Molina fee schedule · outpatient · +10 other terms	143	$28	$28	$10	36%	—	$14 – $50
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$22	$21	$2	11%	—	$19 – $26
9	Cigna fee schedule · outpatient · +16 other terms	113	$24	$31	$22	71%	—	$13 – $187
10	Anthem fee schedule · outpatient · +15 other terms	87	$21	$32	$32	98%	—	$17 – $207
11	Kaiser fee schedule · outpatient · +14 other terms	70	$20	$37	$28	76%	—	$17 – $167
12	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$20	$20	$0	0%	—	$19 – $20
13	Clover fee schedule · outpatient · +3 other terms	37	$25	$24	$2	8%	—	$20 – $26
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$36	$42	$11	27%	—	$14 – $58
15	Oscar fee schedule · outpatient · +6 other terms	36	$24	$25	$8	32%	—	$19 – $44
16	Optum fee schedule · outpatient · +5 other terms	33	$23	$26	$10	37%	—	$19 – $48
17	Caresource fee schedule · outpatient · +7 other terms	26	$23	$25	$3	12%	—	$19 – $30
18	Medica facility · fee schedule · outpatient · +7 other terms	22	$20	$18	$5	28%	—	$6 – $37
19	Regence facility · fee schedule · outpatient · +5 other terms	19	$20	$20	$1	3%	—	$19 – $22
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$28	$27	$2	7%	—	$22 – $28
21	Bcbs Tx fee schedule · outpatient	18	$19	$19	—	—	—	$19 – $19
22	Medicare fee schedule · outpatient · +3 other terms	18	$19	$19	$0	1%	—	$19 – $19
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$19	$22	$6	25%	—	$10 – $30
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$18	$18	$4	20%	—	$9 – $21
25	Wellmark fee schedule · both · +4 other terms	13	$22	$21	$1	6%	—	$14 – $22

Page 1 of 3 · 54 payers