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

Indiana 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 $93 · 10th–90th $44$1050%50%10th90th$93Professionalmedian $45 · 10th–90th $39$760%20%40%10th90th$45$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
$43.65
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$44.67
Typical High
$67.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$93.33
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$54.95
Typical High
$93.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$64.57