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Below-Knee Suspension/Sealing Sleeve

Tennessee 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 $117 · 10th–90th $66$7410%20%10th90th$117Professionalmedian $74 · 10th–90th $66$1320%50%10th90th$74$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$104.71