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HCPCS L1755

Legg perthes orthosis, (patten bottom 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,855 – $1,9712 plans$928$2,319
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,646 – $1,6932 plans$928$2,319
Harborview Medical CenterSeattleFile dated 2026-04-01—$2,229$3,184
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,517 – $1,8556 plans$928$2,319
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,368 – $1,6933 plans$928$2,319
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,368 – $1,6933 plans$928$2,319
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,368 – $1,6933 plans$928$2,319
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,6702 plans$928$2,319
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,368 – $1,6933 plans$928$2,319
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,2991 plan$928$2,319

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
$1,819 (fee)