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Molded Distal Cushion, Below-Knee

Missouri 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?

$81.28

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $100 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$81.28$64.57 to $91.20
FacilityA hospital or hospital-owned outpatient department$100$83.18 to $126

How much rates vary

Facilitymedian $100 · 10th to 90th $60 to $234Professionalmedian $81 · 10th to 90th $58 to $148
$50$100$200$500facility $100professional $81

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
$56.23
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$707.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$66.07
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$95.50

Where Missouri 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.

Missouri· 27th of 51

$81.28

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.