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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 October 2026.

How much does Below-Knee Suspension/Sealing Sleeve cost?

$105

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $191 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$72.44 to $112
FacilityA hospital or hospital-owned outpatient department$191$191 to $191

How much rates vary

Facilitymedian $191 · 10th to 90th $110 to $263Professionalmedian $89 · 10th to 90th $68 to $112
$50$100$200facility $191professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$89.13
Typical High
$128.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.59
Median
$13.49
Typical High
$19.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.32
Median
$8.91
Typical High
$12.88
Ambetter
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$147.91
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$234.42
Typical High
$331.13
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Christus
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$74.13
Typical High
$104.71

Where Louisiana sits

The same service costs 2.2 times more in Montana than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Louisiana· 22nd of 51

$105

MT $158FL $72.44

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.