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Below-Knee Suspension/Sealing Sleeve

Utah 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?

$93.33

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $91.20 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 7 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$95.50$63.10 to $158
FacilityA hospital or hospital-owned outpatient department$91.20$44.67 to $155

How much rates vary

Facilitymedian $91 · 10th to 90th $45 to $155Professionalmedian $95 · 10th to 90th $45 to $661
$50$100$200$500facility $91professional $95

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$660.69
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
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$147.91
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$154.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$112.20
Typical High
$169.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Select Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$158.49
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$107.15

Where Utah 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.

Utah· 25th of 51

$93.33

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.