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Below-Knee Suspension/Sealing Sleeve

Minnesota 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 $269 · 10th–90th $132$1,2590%20%10th90th$269Professionalmedian $155 · 10th–90th $112$1780%50%10th90th$155$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$114.82
Typical High
$128.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$154.88
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$588.84
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$229.09
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,258.93
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$154.88
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$91.20
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$213.80