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

Oklahoma 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 $48 · 10th–90th $39$1070%20%10th90th$48Professionalmedian $45 · 10th–90th $34$790%10%20%10th90th$45$20.0$50.0$100.0$200.0$500.0

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
$38.90
Median
$38.90
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$44.67
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$74.13
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$60.26