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Molded Distal Cushion, Below-Knee

Maine 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?

$93.33

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $155 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$89.13$75.86 to $129
FacilityA hospital or hospital-owned outpatient department$155$95.50 to $178

How much rates vary

Facilitymedian $155 · 10th to 90th $81 to $186Professionalmedian $89 · 10th to 90th $65 to $129
$50$100$200facility $155professional $89

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
$64.57
Median
$75.86
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$154.88
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$75.86
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$79.43
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$128.82
Typical High
$128.82

Where Maine 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.

Maine· 17th of 51

$93.33

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.