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Below-Knee Suspension/Sealing Sleeve

Montana 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?

$132

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $151 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$126$83.18 to $151
FacilityA hospital or hospital-owned outpatient department$151$120 to $166

How much rates vary

Facilitymedian $151 · 10th to 90th $100 to $191Professionalmedian $126 · 10th to 90th $49 to $295
$50.0$100.0$200.0$500.0facility $151professional $126

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
Professional
Modifier
Global
Typical Low
$44.67
Median
$125.89
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$165.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$295.12
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$223.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$69.18
Typical High
$107.15

Where Montana 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.

Montana $132 · 8th 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.