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

New Hampshire 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 $91 · 10th–90th $50$1100%20%40%10th90th$91Professionalmedian $60 · 10th–90th $39$780%20%10th90th$60$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
$50.12
Median
$50.12
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$57.54
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$77.62
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$109.65