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Below-Knee Suspension/Sealing Sleeve

Idaho 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.

Facilitymedian $145 · 10th–90th $95$1910%50%10th90th$145Professionalmedian $112 · 10th–90th $69$1700%20%10th90th$112$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$125.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$169.82
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$138.04
Typical High
$162.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$131.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$169.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$158.49
Typical High
$234.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$104.71
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$69.18
Typical High
$107.15