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

Texas 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 $74 · 10th–90th $40$4370%10%20%10th90th$74Professionalmedian $46 · 10th–90th $37$790%20%10th90th$46$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$39.81
Median
$42.66
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$44.67
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$93.33
Christus
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$125.89
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$70.79
Typical High
$114.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$64.57
Providence
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$70.79
Typical High
$114.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$61.66
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$93.33
Typical High
$125.89