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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.

Facilitymedian $89 · 10th–90th $56$1120%20%40%10th90th$89Professionalmedian $76 · 10th–90th $29$1740%10%20%10th90th$76$50.0$100.0$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
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