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Below-Knee Suspension/Sealing Sleeve

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $155 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 8 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$83.18$79.43 to $105
FacilityA hospital or hospital-owned outpatient department$155$102 to $155

How much rates vary

Facilitymedian $155 · 10th to 90th $79 to $195Professionalmedian $83 · 10th to 90th $71 to $151
$50$200$1K$5Kfacility $155professional $83

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
$79.43
Median
$79.43
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$83.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$194.98
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$151.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$177.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$100.00
Sentara
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$446.68
Sentara
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$104.71
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$114.82

Where Virginia 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.

Virginia· 23rd 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.