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Molded Distal Cushion, Below-Knee

South Carolina 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?

$72.44

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $70.79 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 7 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$70.79$60.26 to $97.72
FacilityA hospital or hospital-owned outpatient department$89.13$60.26 to $126

How much rates vary

Facilitymedian $89 · 10th to 90th $60 to $178Professionalmedian $71 · 10th to 90th $55 to $100
$50$100$200facility $89professional $71

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
$60.26
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$158.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$81.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$218.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$39.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$93.33

Where South Carolina 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.

South Carolina· 35th of 51

$72.44

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.