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Below-Knee Suspension/Sealing Sleeve

Massachusetts 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 $186 · 10th–90th $66$3020%20%10th90th$186Professionalmedian $132 · 10th–90th $66$2000%20%40%10th90th$132$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$208.93
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$741.31
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$257.04
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
$107.15
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$199.53
Health New England
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Health New England
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$741.31
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$181.97
Tufts
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$107.15
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$125.89
Typical High
$134.90