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Below-Knee Suspension/Sealing Sleeve

Connecticut 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 July 2026.

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

$74.13

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $107 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$66.07 to $93.33
FacilityA hospital or hospital-owned outpatient department$107$100 to $155

How much rates vary

Facilitymedian $107 · 10th to 90th $98 to $186Professionalmedian $74 · 10th to 90th $66 to $148
$50.0$100.0$200.0$500.0facility $107professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$93.33
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$169.82
Health New England
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Health New England
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$125.89

Where Connecticut sits

The same service costs 2.3 times more in Wisconsin than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Connecticut $74.13 · 49th of 51
WI $158NE $67.61

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.