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Below-Knee Suspension/Sealing Sleeve

Hawaii 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?

$155

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $100 to $155.

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 $100 · 10th to 90th $91 to $120Professionalmedian $155 · 10th to 90th $55 to $162
$100.0$200.0facility $100professional $155

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
$54.95
Median
$54.95
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$190.55
HMSA
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$93.33
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$186.21

Where Hawaii 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.

Hawaii $155 · 3rd 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.