go back

Molded Distal Cushion, Below-Knee

Iowa 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?

$95.50

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $115 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 7 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$95.50$64.57 to $117
FacilityA hospital or hospital-owned outpatient department$115$91.20 to $195

How much rates vary

Facilitymedian $115 · 10th to 90th $83 to $324Professionalmedian $95 · 10th to 90th $56 to $162
$50$100$200$500facility $115professional $95

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
Facility
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$199.53
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$162.18
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$190.55
Midlands
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$138.04
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$123.03

Where Iowa 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.

Iowa· 16th of 51

$95.50

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.