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

Hawaii rates for HCPCS L8417

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

Rates data updated October 2026.

How much does Prosthetic Sheath/Sock with Gel Cushion, Below or Above Knee cost?

$97.72

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $66.07 to $102.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $76 · 10th to 90th $50 to $76Professionalmedian $98 · 10th to 90th $60 to $105
$50$100facility $76professional $98

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
HMSA
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$97.72
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$104.71
Typical High
$104.71
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26

Where Hawaii sits

The same service costs 2.8 times more in Kansas than in Delaware. 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.

Hawaii· 2nd of 51

$97.72

KS $107DE $38.90

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.