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

Ohio 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?

$51.29

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $95.50 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 9 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$48.98$44.67 to $63.10
FacilityA hospital or hospital-owned outpatient department$95.50$75.86 to $107

How much rates vary

Facilitymedian $95 · 10th to 90th $45 to $158Professionalmedian $49 · 10th to 90th $37 to $95
$50$100$200facility $95professional $49

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
$44.67
Median
$44.67
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$75.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$97.72
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$120.23
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
CareSource
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$77.62
Typical High
$109.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$81.28
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$56.23
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$53.70
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$54.95
Typical High
$79.43
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$104.71
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$63.10

Where Ohio 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.

Ohio· 28th of 51

$51.29

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.