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

North Dakota 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 $66 · 10th–90th $66$1120%50%90th$66Professionalmedian $85 · 10th–90th $49$1120%20%10th90th$85$50.0$100.0$200.0$500.0

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
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$104.71
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$75.86
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$61.66
Typical High
$107.15