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Below-Knee Suspension/Sealing Sleeve

Indiana 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?

$77.62

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 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 6 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$77.62$74.13 to $95.50
FacilityA hospital or hospital-owned outpatient department$158$100 to $158

How much rates vary

Facilitymedian $158 · 10th to 90th $74 to $178Professionalmedian $78 · 10th to 90th $68 to $129
$0.1$1.0$10.0$100.0$1.0Kfacility $158professional $78

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
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$117.49
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$177.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$77.62
Typical High
$109.65

Where Indiana 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.

Indiana $77.62 · 42nd 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.