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

Iowa 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 $52$2240%20%10th90th$76Professionalmedian $68 · 10th–90th $40$1120%20%10th90th$68$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
$44.67
Median
$70.79
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$104.71
Typical High
$131.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$117.49
Typical High
$426.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$151.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$125.89
Midlands
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$91.20
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$91.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$91.20