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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L1720 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,561 – $1,7176 plans$812$2,030
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,561 – $1,7178 plans$812$2,030
Harborview Medical CenterSeattleFile dated 2026-04-01$1,593 – $1,7525 plans$1,951$2,788
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,593 – $1,9127 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,561 – $1,7177 plans$812$2,030
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,561 – $1,7177 plans$812$2,030
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,561 – $1,7177 plans$812$2,030
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,561 – $1,7177 plans$812$2,030
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,608 – $1,7177 plans$812$2,030
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,593 – $1,6573 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,593 – $1,9127 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,593 – $2,5497 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,593 – $1,7526 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,593 – $2,5497 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,593 – $1,9128 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,593 – $1,9128 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,593 – $1,9128 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,593 – $1,9128 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,561 – $1,7177 plans$812$2,030
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,593 – $1,7525 plans——
Virginia Mason Medical CenterSeattle$1,093 – $1,6409 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,561 – $1,7488 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)