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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 October 2026.

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

$81.28

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $72.44 to $123.

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 $100 to $110Professionalmedian $74 · 10th to 90th $72 to $126
$100$200$500facility $100professional $74

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
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$95.50
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$109.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$147.91
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$112.20
Typical High
$302.00

Where Vermont 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.

Vermont· 46th of 51

$81.28

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.