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

Michigan 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?

$51.29

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $110 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 7 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$51.29$46.77 to $91.20
FacilityA hospital or hospital-owned outpatient department$110$51.29 to $240

How much rates vary

Facilitymedian $110 · 10th to 90th $51 to $363Professionalmedian $51 · 10th to 90th $43 to $91
$1$10$100facility $110professional $51

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$51.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$275.42
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$95.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
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
$50.12
Typical High
$100.00
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$173.78
Typical High
$194.98
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$112.20
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$64.57

Where Michigan 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.

Michigan· 26th of 51

$51.29

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.