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

Virginia 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 $91 · 10th–90th $47$1120%20%40%10th90th$91Professionalmedian $49 · 10th–90th $39$870%20%40%10th90th$49$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$46.77
Typical High
$48.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$114.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$125.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$58.88
Typical High
$89.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$104.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$54.95
Typical High
$58.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$263.03
Sentara
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$60.26
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$67.61