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

Colorado 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 $68 · 10th–90th $26$1170%20%10th90th$68Professionalmedian $46 · 10th–90th $37$690%20%40%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
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$67.61
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
$85.11
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$69.18
Typical High
$114.82
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$199.53
Select Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$194.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$60.26
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$40.74
Typical High
$61.66