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Vermont rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Facilitymedian $50 · 10th–90th $45–$650%50%10th90th$50Professionalmedian $43 · 10th–90th $39–$550%20%10th90th$43$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $42.66 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $50.12
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $87.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $53.70 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $61.66 / $177.83