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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 October 2026.

How much does Below-Knee Suspension/Sealing Sleeve cost?

$75.86

Typical negotiated rate. In New Jersey, October 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 $100 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$66.07 to $155
FacilityA hospital or hospital-owned outpatient department$100$100 to $100

How much rates vary

Facilitymedian $100 · 10th to 90th $55 to $155Professionalmedian $76 · 10th to 90th $55 to $155
$100$200facility $100professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$67.61
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.32
Median
$8.32
Typical High
$10.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.50
Median
$5.50
Typical High
$6.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$154.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$199.53
Typical High
$199.53
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$87.10
Typical High
$147.91

Where New Jersey sits

The same service costs 2.2 times more in Montana than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 49th of 51

$75.86

MT $158FL $72.44

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.