Devi aggiungere il parametro return al comando:
using (SqlConnection conn = new SqlConnection(getConnectionString()))
using (SqlCommand cmd = conn.CreateCommand())
{
cmd.CommandText = parameterStatement.getQuery();
cmd.CommandType = CommandType.StoredProcedure;
cmd.Parameters.AddWithValue("SeqName", "SeqNameValue");
var returnParameter = cmd.Parameters.Add("@ReturnVal", SqlDbType.Int);
returnParameter.Direction = ParameterDirection.ReturnValue;
conn.Open();
cmd.ExecuteNonQuery();
var result = returnParameter.Value;
}