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Below-Knee Suspension/Sealing Sleeve

New Mexico 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?

$100

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $575 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$93.33$83.18 to $123
FacilityA hospital or hospital-owned outpatient department$575$117 to $1,318

How much rates vary

Facilitymedian $575 · 10th to 90th $78 to $1,905Professionalmedian $93 · 10th to 90th $68 to $229
$100.0$1.0K$10.0K$100.0Kfacility $575professional $93

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
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,202.26
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$109.65
Typical High
$158.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$69.18
Typical High
$104.71

Where New Mexico 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 Mexico $100 · 18th 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.