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

Utah 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 $45 · 10th–90th $26$910%20%40%10th90th$45Professionalmedian $51 · 10th–90th $26$3890%10%10th90th$51$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$39.81
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$52.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$87.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$91.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$91.20
Typical High
$93.33
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$53.70
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$40.74
Typical High
$61.66