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Below-Knee Suspension/Sealing Sleeve

Nebraska 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?

$67.61

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $158 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$67.61$67.61 to $83.18
FacilityA hospital or hospital-owned outpatient department$158$105 to $174

How much rates vary

Facilitymedian $158 · 10th to 90th $98 to $316Professionalmedian $68 · 10th to 90th $59 to $115
$50.0$100.0$200.0$500.0facility $158professional $68

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$67.61
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$117.49
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$147.91
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$323.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$151.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$416.87
Midlands
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$389.05
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$120.23

Where Nebraska 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.

Nebraska $67.61 · 51st 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.