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HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Current code23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$2,365 – $2,5132 plans$1,182$2,956
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,099 – $2,1582 plans$1,182$2,956
Harborview Medical CenterSeattleFile dated 2026-04-01—$2,841$4,059
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,933 – $2,3656 plans$1,182$2,956
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,744 – $2,1583 plans$1,182$2,956
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,744 – $2,1583 plans$1,182$2,956
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,744 – $2,1583 plans$1,182$2,956
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,1282 plans$1,182$2,956
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,744 – $2,1583 plans$1,182$2,956

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$2,320 (fee)