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Below-Knee Suspension/Sealing Sleeve

West 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?

$75.86

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $74.13 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 5 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$79.43$74.13 to $81.28
FacilityA hospital or hospital-owned outpatient department$74.13$74.13 to $91.20

How much rates vary

Facilitymedian $74 · 10th to 90th $74 to $158Professionalmedian $79 · 10th to 90th $74 to $105
$50$100$200$500facility $74professional $79

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
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$81.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$208.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$758.58
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$125.89

Where West 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.

West Virginia· 45th of 51

$75.86

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.