go back

Below-Knee Suspension/Sealing Sleeve

Rhode Island 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?

$91.20

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $282 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$75.86 to $97.72
FacilityA hospital or hospital-owned outpatient department$282$219 to $316

How much rates vary

Facilitymedian $282 · 10th to 90th $186 to $347Professionalmedian $89 · 10th to 90th $69 to $126
$100$200facility $282professional $89

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
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$302.00
Typical High
$346.74
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$97.72
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$91.20
Typical High
$125.89

Where Rhode Island 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.

Rhode Island· 39th of 51

$91.20

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.