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

Missouri 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 $74 · 10th–90th $42$1740%20%10th90th$74Professionalmedian $55 · 10th–90th $40$1100%20%10th90th$55$0.1$0.5$2.0$10.0$50.0$200.0

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
$41.69
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$389.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$85.11
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
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$69.18