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Molded Distal Cushion, Below-Knee

Hawaii 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?

$186

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $91.20 to $186.

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 $89 · 10th to 90th $79 to $145Professionalmedian $186 · 10th to 90th $47 to $195
$50$100$200facility $89professional $186

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
$46.77
Median
$46.77
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$229.09
HMSA
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$81.28
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$229.09

Where Hawaii 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.

Hawaii· 1st of 51

$186

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.