HCPCS L1720

Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated

Current codeBelow Knee Orthotic23 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.

Prices for HCPCS L1720 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,373 – $10,65119 plans$812$2,030
Deaconess Medical CenterSpokaneFile dated 2026-08-27$754 – $6,63016 plans$812$2,030
Harborview Medical CenterSeattleFile dated 2026-04-01$2,549 – $3,1862 plans$1,951$2,788
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,402 – $4,4755 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,311 – $11,69118 plans$812$2,030
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,334 – $6,88220 plans$812$2,030
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,334 – $6,88220 plans$812$2,030
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,334 – $6,88220 plans$812$2,030
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$754 – $6,61516 plans$812$2,030
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,461 – $4,38210 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,467 – $5,2859 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,692 – $5,9565 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,912 – $3,6967 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,354 – $5,2018 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,389 – $5,8437 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,389 – $3,5367 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2,389 – $5,6909 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,389 – $5,6909 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,334 – $6,88220 plans$812$2,030
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,549 – $4,9965 plans——
Virginia Mason Medical CenterSeattle$1,525 – $5,5407 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4,0201 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$995 – $4,13219 plans$812$2,030

Lowest and highest amounts each hospital lists for this code as an outpatient, 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
$1,593 (fee)