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Below-Knee Suspension/Sealing Sleeve

Illinois 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?

$120

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $158 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 7 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$117$75.86 to $120
FacilityA hospital or hospital-owned outpatient department$158$75.86 to $282

How much rates vary

Facilitymedian $158 · 10th to 90th $76 to $794Professionalmedian $117 · 10th to 90th $72 to $158
$0.1$1.0$10.0$100.0$1.0Kfacility $158professional $117

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
$75.86
Median
$75.86
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$1,071.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$169.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$234.42
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$131.83

Where Illinois 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.

Illinois $120 · 11th 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.