go back

Below-Knee Suspension/Sealing Sleeve

South Dakota 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?

$155

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $219 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$105 to $170
FacilityA hospital or hospital-owned outpatient department$219$115 to $257

How much rates vary

Facilitymedian $219 · 10th to 90th $105 to $417Professionalmedian $155 · 10th to 90th $72 to $209
$100$200$500facility $219professional $155

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
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$173.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$177.83
Typical High
$223.87
Medica
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$257.04
Typical High
$416.87
Medica
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$104.71
Typical High
$776.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Midlands
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Midlands
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$281.84
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$154.88
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$104.71
Typical High
$123.03
Wellmark
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88

Where South Dakota 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.

South Dakota· 6th of 51

$155

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.