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Below-Knee Suspension/Sealing Sleeve

Arizona rates for HCPCS L5685

Addition to lower extremity prosthesis, below knee (BK), suspension/sealing sleeve, with or without valve, any material, each

Rates data updated October 2026.

How much does Below-Knee Suspension/Sealing Sleeve cost?

$83.18

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $158 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$67.61 to $135
FacilityA hospital or hospital-owned outpatient department$158$97.72 to $263

How much rates vary

Facilitymedian $158 · 10th to 90th $45 to $724Professionalmedian $72 · 10th to 90th $66 to $776
$50$100$200$500facility $158professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Ambetter
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$117.49
Typical High
$120.23
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$181.97
Typical High
$275.42
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$134.90
Typical High
$239.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Medica
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$151.36
Typical High
$724.44
Medica
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$100.00
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$69.18
Typical High
$104.71

Where Arizona sits

The same service costs 2.2 times more in Montana than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 43rd of 51

$83.18

MT $158FL $72.44

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.