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

South Carolina 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 $58 · 10th–90th $41$1150%20%10th90th$58Professionalmedian $45 · 10th–90th $39$680%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
$40.74
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$40.74
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$50.12
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$104.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$53.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$67.61
Typical High
$144.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$60.26
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$45.71
Typical High
$61.66