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North Carolina rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Facilitymedian $68 · 10th–90th $39$1580%20%10th90th$68Professionalmedian $66 · 10th–90th $39$690%20%40%10th90th$66$0.1$1.0$10.0$100.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $52.48 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $56.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $45.71 / $58.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $74.13 / $128.82
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $60.26 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $64.57
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $660.69