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

South Dakota 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.

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

$89.13

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $89.13 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$74.13 to $105
FacilityA hospital or hospital-owned outpatient department$89.13$67.61 to $129

How much rates vary

Facilitymedian $89 · 10th to 90th $62 to $178Professionalmedian $89 · 10th to 90th $68 to $132
$50$100$200$500facility $89professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$100.00
Midlands
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$165.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$60.26
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$61.66
Typical High
$107.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20

Where South Dakota sits

The same service costs 2.7 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.

South Dakota· 5th of 51

$89.13

KS $107DE $39.81

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.