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Molded Distal Cushion, Below-Knee

Tennessee 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?

$64.57

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $102 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$64.57$58.88 to $89.13
FacilityA hospital or hospital-owned outpatient department$102$81.28 to $776

How much rates vary

Facilitymedian $102 · 10th to 90th $58 to $776Professionalmedian $65 · 10th to 90th $58 to $115
$50$100$200$500$1Kfacility $102professional $65

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
$57.54
Median
$57.54
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$91.20
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$91.20

Where Tennessee 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.

Tennessee· 50th of 51

$64.57

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.