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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 October 2026.

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

$97.72

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $100 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$91.20$66.07 to $112
FacilityA hospital or hospital-owned outpatient department$100$44.67 to $155

How much rates vary

Facilitymedian $100 · 10th to 90th $45 to $155Professionalmedian $91 · 10th to 90th $45 to $141
$50$100$200facility $100professional $91

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
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$48.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.61
Median
$6.61
Typical High
$7.41
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.47
Median
$4.47
Typical High
$4.90
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
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$114.82
Typical High
$144.54
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$154.88
Typical High
$234.42
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Select Health
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Select Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$154.88
Typical High
$158.49
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$128.82
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$69.18
Typical High
$125.89

Where Utah 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.

Utah· 27th of 51

$97.72

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.