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

Minnesota 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 $158 · 10th–90th $78$7410%20%10th90th$158Professionalmedian $91 · 10th–90th $65$1050%50%10th90th$91$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
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$66.07
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$91.20
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$346.74
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$134.90
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$741.31
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$91.20
Typical High
$426.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$53.70
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$53.70
Typical High
$125.89