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

New Mexico 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?

$50.12

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $61.66 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$50.12$40.74 to $69.18
FacilityA hospital or hospital-owned outpatient department$61.66$47.86 to $83.18

How much rates vary

Facilitymedian $62 · 10th to 90th $26 to $93Professionalmedian $50 · 10th to 90th $40 to $138
$20$50$100$200facility $62professional $50

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
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$138.04
Providence
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$64.57
Typical High
$93.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$40.74
Typical High
$61.66

Where New Mexico 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 Mexico· 31st of 51

$50.12

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.