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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 July 2026.

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

$44.67

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $32.36 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 5 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$44.67$38.90 to $70.79
FacilityA hospital or hospital-owned outpatient department$32.36$32.36 to $60.26

How much rates vary

Facilitymedian $32 · 10th to 90th $32 to $91Professionalmedian $45 · 10th to 90th $35 to $89
$50$100$200facility $32professional $45

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
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$39.81
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$50.12
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$117.49
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$53.70
Typical High
$87.10

Where New Jersey 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.

New Jersey· 42nd of 51

$44.67

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.