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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.

How much does Prosthetic Sheath/Sock with Gel Cushion, Below or Above Knee cost?

$67.61

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $67.61 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$67.61$51.29 to $69.18
FacilityA hospital or hospital-owned outpatient department$67.61$56.23 to $93.33

How much rates vary

Facilitymedian $68 · 10th to 90th $40 to $155Professionalmedian $68 · 10th to 90th $40 to $69
$50$100$200facility $68professional $68

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
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

Where North Carolina 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.

North Carolina· 15th of 51

$67.61

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.