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Molded Distal Cushion, Below-Knee

Oregon 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?

$107

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $126 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 8 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$102$72.44 to $132
FacilityA hospital or hospital-owned outpatient department$126$107 to $135

How much rates vary

Facilitymedian $126 · 10th to 90th $102 to $135Professionalmedian $102 · 10th to 90th $59 to $151
$50$100$200$500facility $126professional $102

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
$54.95
Median
$72.44
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$269.15
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$141.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$151.36
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$134.90
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$141.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$162.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$141.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$524.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$81.28
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$114.82

Where Oregon 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.

Oregon· 10th of 51

$107

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.