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

Tennessee 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 $65 · 10th–90th $39$4370%20%10th90th$65Professionalmedian $44 · 10th–90th $39$760%20%40%10th90th$44$0.1$0.5$2.0$10.0$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$39.81
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$60.26
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$60.26