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Prosthetic Sheath/Sock with Gel Cushion, Below or Above Knee

Arizona rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Rates data updated July 2026.

Facilitymedian $76 · 10th–90th $26$1860%10%10th90th$76Professionalmedian $46 · 10th–90th $37$950%20%10th90th$46$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$100.00
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$61.66
Typical High
$426.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$40.74
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$40.74
Typical High
$60.26