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Below-Knee Suspension/Sealing Sleeve

Missouri 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?

$93.33

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $129 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 7 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$93.33$77.62 to $115
FacilityA hospital or hospital-owned outpatient department$129$105 to $158

How much rates vary

Facilitymedian $129 · 10th to 90th $74 to $295Professionalmedian $93 · 10th to 90th $71 to $186
$0.1$1.0$10.0$100.0facility $129professional $93

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
$70.79
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$104.71
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$117.49

Where Missouri sits

The same service costs 2.3 times more in Wisconsin than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $93.33 · 24th of 51
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.