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Below-Knee Suspension/Sealing Sleeve

Louisiana 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 $135 · 10th–90th $89$2630%10%20%10th90th$135Professionalmedian $85 · 10th–90th $65$1290%20%10th90th$85$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
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$104.71