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Below-Knee Suspension/Sealing Sleeve

Vermont 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?

$85.11

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $74.13 to $95.50.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $91 to $110Professionalmedian $85 · 10th to 90th $74 to $117
$50$100$200facility $100professional $85

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$104.71
Typical High
$302.00

Where Vermont 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.

Vermont· 32nd of 51

$85.11

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.