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

North Carolina 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 $68 · 10th–90th $40$1550%20%10th90th$68Professionalmedian $68 · 10th–90th $40$690%50%10th90th$68$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
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$67.61
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$50.12
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$53.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$58.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$74.13
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$64.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$660.69