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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.

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

$155

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $269 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$155$129 to $155
FacilityA hospital or hospital-owned outpatient department$269$155 to $589

How much rates vary

Facilitymedian $269 · 10th to 90th $132 to $1,259Professionalmedian $155 · 10th to 90th $112 to $178
$50$100$200$500$1Kfacility $269professional $155

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
$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

Where Minnesota sits

The same service costs 2.3 times more in Wisconsin than in Nebraska. 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.

Minnesota· 2nd of 51

$155

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.