go back

Below-Knee Suspension/Sealing Sleeve

Oregon 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.

Facilitymedian $148 · 10th–90th $115$1550%50%10th90th$148Professionalmedian $112 · 10th–90th $68$1700%10%20%10th90th$112$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$169.82
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
$72.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$309.03
Typical High
$371.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$154.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$165.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$151.36
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$165.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$177.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$158.49
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$588.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$93.33
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$131.83