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Molded Distal Cushion, Below-Knee

Massachusetts 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?

$129

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $95.50 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 9 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$129$67.61 to $129
FacilityA hospital or hospital-owned outpatient department$95.50$79.43 to $263

How much rates vary

Facilitymedian $95 · 10th to 90th $65 to $468Professionalmedian $129 · 10th to 90th $65 to $195
$50$100$200$500$1K$2K$5Kfacility $95professional $129

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
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$67.61
Typical High
$204.17
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$776.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$117.49
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$95.50
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$194.98
Health New England
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$776.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$117.49
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$91.20
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$128.82

Where Massachusetts 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.

Massachusetts· 4th of 51

$129

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.