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

Rhode Island rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Rates data updated October 2026.

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

$50.12

Typical negotiated rate. In Rhode Island, October 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 $162 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$50.12$43.65 to $52.48
FacilityA hospital or hospital-owned outpatient department$162$129 to $186

How much rates vary

Facilitymedian $162 · 10th to 90th $110 to $204Professionalmedian $50 · 10th to 90th $37 to $74
$50$100$200facility $162professional $50

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.23
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.13
Median
$5.25
Typical High
$5.25
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$177.83
Typical High
$204.17
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$50.12
Typical High
$75.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
United
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$53.70
Typical High
$74.13

Where Rhode Island sits

The same service costs 2.8 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.

Rhode Island· 38th of 51

$50.12

KS $107DE $38.90

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.