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Molded Distal Cushion, Below-Knee

North Dakota 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?

$115

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $89.13 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 5 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$89.13 to $135
FacilityA hospital or hospital-owned outpatient department$89.13$89.13 to $115

How much rates vary

Facilitymedian $89 · 10th to 90th $89 to $151Professionalmedian $115 · 10th to 90th $72 to $148
$50$100$200$500facility $89professional $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
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$199.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$263.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$162.18

Where North Dakota 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.

North Dakota· 9th of 51

$115

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.