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Washington rates for HCPCS L8417

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

Facilitymedian $89 · 10th–90th $58$2140%10%10th90th$89Professionalmedian $63 · 10th–90th $38$1290%10%20%10th90th$63$1.0$5.0$20.0$100.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $47.86 / $79.43
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $87.10 / $87.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $50.12
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $120.23 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $104.71 / $186.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $67.61 / $74.13
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $87.10 / $89.13
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $89.13 / $102.33
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $128.82 / $177.83
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $131.83 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $53.70 / $77.62
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $134.90