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

Louisiana 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 $79 · 10th–90th $52$1910%10%20%10th90th$79Professionalmedian $50 · 10th–90th $38$760%20%10th90th$50$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
$52.48
Median
$52.48
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$457.09
Typical High
$457.09
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
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$61.66