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Below-Knee Suspension/Sealing Sleeve

New Jersey 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?

$75.86

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $54.95 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$75.86$66.07 to $120
FacilityA hospital or hospital-owned outpatient department$54.95$54.95 to $105

How much rates vary

Facilitymedian $55 · 10th to 90th $55 to $155Professionalmedian $76 · 10th to 90th $55 to $151
$50.0$100.0$200.0$500.0facility $55professional $76

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
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$199.53
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$151.36

Where New Jersey 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.

New Jersey $75.86 · 46th 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.