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Below-Knee Suspension/Sealing Sleeve

Florida 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?

$79.43

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $81.28 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 8 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$79.43$67.61 to $115
FacilityA hospital or hospital-owned outpatient department$81.28$75.86 to $295

How much rates vary

Facilitymedian $81 · 10th to 90th $66 to $295Professionalmedian $79 · 10th to 90th $66 to $126
$0.1$1.0$10.0$100.0facility $81professional $79

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$141.25
AvMed
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
AvMed
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$95.50
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$48.98
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$104.71
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$158.49

Where Florida 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.

Florida $79.43 · 38th 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.