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

New Jersey rates for HCPCS L8417

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

Rates data updated October 2026.

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

$43.65

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $50.12 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$43.65$37.15 to $91.20
FacilityA hospital or hospital-owned outpatient department$50.12$44.67 to $50.12

How much rates vary

Facilitymedian $50 · 10th to 90th $35 to $91Professionalmedian $44 · 10th to 90th $32 to $91
$50$100facility $50professional $44

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$34.67
Aetna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$39.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.22
Median
$16.22
Typical High
$19.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.46
Median
$6.46
Typical High
$7.94
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.90
Median
$4.90
Typical High
$5.89
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.24
Median
$3.24
Typical High
$3.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$91.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$117.49
Typical High
$117.49
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
United
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$48.98
Typical High
$87.10

Where New Jersey sits

The same service costs 2.8 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.

New Jersey· 50th of 51

$43.65

KS $107DE $38.90

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.