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Molded Distal Cushion, Below-Knee

Virginia 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?

$81.28

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $123 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$72.44$64.57 to $87.10
FacilityA hospital or hospital-owned outpatient department$123$83.18 to $123

How much rates vary

Facilitymedian $123 · 10th to 90th $65 to $158Professionalmedian $72 · 10th to 90th $58 to $123
$50$200$1K$5Kfacility $123professional $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
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$75.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$169.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$173.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$123.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$91.20
Typical High
$158.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$81.28
Sentara
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$363.08
Sentara
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$91.20
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$61.66
Typical High
$95.50

Where Virginia 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.

Virginia· 25th of 51

$81.28

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.