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Molded Distal Cushion, Below-Knee

New Jersey 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?

$67.61

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $46.77 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$67.61$54.95 to $95.50
FacilityA hospital or hospital-owned outpatient department$46.77$46.77 to $91.20

How much rates vary

Facilitymedian $47 · 10th to 90th $47 to $129Professionalmedian $68 · 10th to 90th $49 to $126
$50$100$200$500facility $47professional $68

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
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$169.82
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$93.33
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$125.89

Where New Jersey 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.

New Jersey· 44th of 51

$67.61

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.