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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.

Facilitymedian $110 · 10th–90th $51$3630%20%10th90th$110Professionalmedian $51 · 10th–90th $43$910%20%10th90th$51$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$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