CareNavIQ

Every billing code / Equipment and supplies / Orthotic Devices

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

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

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,783 – $1,9616 plans$928$2,319
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,783 – $1,9618 plans$928$2,319
Harborview Medical CenterSeattleFile dated 2026-04-01$1,819 – $2,0015 plans$2,229$3,184
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,819 – $2,1837 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,783 – $1,9617 plans$928$2,319
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,783 – $1,9617 plans$928$2,319
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,783 – $1,9617 plans$928$2,319
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,783 – $1,9617 plans$928$2,319
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,836 – $1,9617 plans$928$2,319
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,819 – $1,8923 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,819 – $2,1837 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,819 – $2,9117 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,819 – $2,0016 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,819 – $2,9117 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,819 – $2,1838 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,819 – $2,1838 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,819 – $2,1838 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,819 – $2,1838 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,783 – $1,9617 plans$928$2,319
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,819 – $2,0015 plans——
Virginia Mason Medical CenterSeattle$1,249 – $1,8739 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,783 – $1,9978 plans$928$2,319

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
$1,819 (fee)