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Molded Distal Cushion, Below-Knee

Arizona rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Rates data updated July 2026.

How much does Molded Distal Cushion, Below-Knee cost?

$72.44

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $138 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 6 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$72.44$60.26 to $87.10
FacilityA hospital or hospital-owned outpatient department$138$79.43 to $214

How much rates vary

Facilitymedian $138 · 10th to 90th $43 to $316Professionalmedian $72 · 10th to 90th $55 to $170
$50$100$200$500facility $138professional $72

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
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$181.97
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$107.15
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$91.20

Where Arizona sits

The same service costs 3.2 times more in Hawaii than in Delaware. 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.

Arizona· 38th of 51

$72.44

HI $186DE $57.54

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.