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

Massachusetts 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 $65 · 10th–90th $39$4370%20%10th90th$65Professionalmedian $76 · 10th–90th $39$1170%20%40%10th90th$76$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$42.66
Typical High
$134.90
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$436.52
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$51.29
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$53.70
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$117.49
Health New England
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Health New England
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$436.52
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$61.66
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$79.43