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Molded Distal Cushion, Below-Knee

Montana 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?

$117

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $117 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$115$74.13 to $126
FacilityA hospital or hospital-owned outpatient department$117$100 to $126

How much rates vary

Facilitymedian $117 · 10th to 90th $89 to $191Professionalmedian $115 · 10th to 90th $48 to $229
$50$100$200$500facility $117professional $115

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
Professional
Modifier
Global
Typical Low
$38.90
Median
$114.82
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$125.89
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$229.09
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$229.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$194.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$93.33

Where Montana 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.

Montana· 7th of 51

$117

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.