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Below-Knee Suspension/Sealing Sleeve

North Dakota 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?

$145

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $115 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 5 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$145$115 to $174
FacilityA hospital or hospital-owned outpatient department$115$115 to $129

How much rates vary

Facilitymedian $115 · 10th to 90th $115 to $195Professionalmedian $145 · 10th to 90th $83 to $191
$50.0$100.0$200.0$500.0facility $115professional $145

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
$114.82
Median
$114.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$128.82
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$181.97

Where North Dakota 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.

North Dakota $145 · 5th 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.