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

Idaho 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 $85 · 10th–90th $49$1120%20%40%10th90th$85Professionalmedian $66 · 10th–90th $37$1000%10%20%10th90th$66$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
$45.71
Median
$57.54
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$74.13
Typical High
$97.72
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$75.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$87.10
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$134.90
Select Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$60.26
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$40.74
Typical High
$61.66