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Rhode Island rates for HCPCS L8417

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

Facilitymedian $158 · 10th–90th $51–$2040%10%20%10th90th$158Professionalmedian $45 · 10th–90th $38–$780%20%10th90th$45$50.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $177.83 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $50.12 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $61.66 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $53.70 / $74.13