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Molded Distal Cushion, Below-Knee

Ohio 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?

$79.43

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $141 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 9 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$72.44$67.61 to $97.72
FacilityA hospital or hospital-owned outpatient department$141$102 to $162

How much rates vary

Facilitymedian $141 · 10th to 90th $68 to $240Professionalmedian $72 · 10th to 90th $60 to $145
$50$100$200$500facility $141professional $72

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
$67.61
Median
$67.61
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$181.97
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$162.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$93.33
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$83.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$120.23
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$95.50

Where Ohio 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.

Ohio· 32nd of 51

$79.43

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.