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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.

Facilitymedian $95 · 10th–90th $45$1580%20%10th90th$95Professionalmedian $49 · 10th–90th $37$950%20%40%10th90th$49$0.1$0.5$2.0$10.0$50.0$200.0

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
$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