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

Maine 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.

How much does Prosthetic Sheath/Sock with Gel Cushion, Below or Above Knee cost?

$60.26

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $93.33 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$48.98 to $77.62
FacilityA hospital or hospital-owned outpatient department$93.33$61.66 to $105

How much rates vary

Facilitymedian $93 · 10th to 90th $50 to $112Professionalmedian $56 · 10th to 90th $39 to $78
$50$100$200facility $93professional $56

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$93.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$48.98
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$53.70
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$75.86
Typical High
$77.62

Where Maine sits

The same service costs 2.7 times more in Kansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 17th of 51

$60.26

KS $107DE $39.81

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.