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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 July 2026.

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

$89.13

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $275 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 4 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$87.10$72.44 to $89.13
FacilityA hospital or hospital-owned outpatient department$275$186 to $316

How much rates vary

Facilitymedian $275 · 10th to 90th $100 to $347Professionalmedian $87 · 10th to 90th $66 to $105
$100$200$500facility $275professional $87

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. 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
Global
Typical Low
$66.07
Median
$74.13
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$97.72
Typical High
$144.54
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
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$125.89

Where Rhode Island sits

The same service costs 2.3 times more in Wisconsin than in Nebraska. 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· 30th of 51

$89.13

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.