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

Vermont 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 $54 · 10th–90th $45$650%20%40%10th90th$54Professionalmedian $47 · 10th–90th $44$600%20%40%10th90th$47$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
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$50.12
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$61.66
Typical High
$177.83