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Below-Knee Suspension/Sealing Sleeve

Washington, DC 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?

$85.11

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $75.86 to $100.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $81 · 10th to 90th $81 to $110Professionalmedian $85 · 10th to 90th $68 to $120
$100$200facility $81professional $85

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$81.28
Typical High
$93.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$12.02
Typical High
$14.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.61
Median
$7.94
Typical High
$9.33
CareFirst
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$104.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$109.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$131.83
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$93.33
Typical High
$131.83

Where Washington, DC 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.

Washington, DC· 42nd of 51

$85.11

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.