Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS L8417 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Prosthetic Sheaths, Socks, and Shrinkers |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8417 |
National average reimbursement for HCPCS L8417 by major payers:
$76.26
$48.97
$53.94
$106.85
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS L8417.
HCPCS L8417
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
$100.98Published rateMichael Koch
Chestatee Pathology Associates PC
$45.52Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$43.63Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$39.63Published rateMiguel Arenas
Miguel A Arenas Md PC
$26.95Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L8417 vs. Other Prosthetic Sheaths, Socks, and Shrinkers Codes
The HCPCS L8417 code is part of the Prosthetic Procedures services used for Prosthetic Sheaths, Socks, and Shrinkers. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L8417 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L8415-HCPCS | Low | Prosthetic sheath, upper limb, each |
| L8417-HCPCS | Low | Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each |
| L8420-HCPCS | Low | Prosthetic sock, multiple ply, below knee, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8417. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8417 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS L8417) and we'll show you how you compare in 15 minutes or less.