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

Montana 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?

$77.62

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $89.13 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$75.86$47.86 to $89.13
FacilityA hospital or hospital-owned outpatient department$89.13$70.79 to $95.50

How much rates vary

Facilitymedian $89 · 10th to 90th $56 to $112Professionalmedian $76 · 10th to 90th $29 to $174
$50$100$200facility $89professional $76

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
Professional
Modifier
Global
Typical Low
$26.30
Median
$74.13
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$95.50
Typical High
$95.50
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$173.78
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$173.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$85.11
Typical High
$131.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$60.26
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$40.74
Typical High
$61.66

Where Montana 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.

Montana· 8th of 51

$77.62

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.