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

Washington 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 $89 · 10th–90th $60$2000%10%10th90th$89Professionalmedian $74 · 10th–90th $41$1580%20%10th90th$74$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
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$389.05
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$89.13
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$100.00
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
$50.12
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$120.23
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$104.71
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$74.13
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$89.13
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$102.33
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$177.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$87.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$89.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$77.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$77.62