HCPCS L1900
Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated
Current codeBelow Knee Orthotic23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $295 – $2,285 | — | — |
| Deaconess Medical Center | $409 – $1,423 | — | — |
| Harborview Medical Center | $547 – $684 | $419 | $598 |
| Kadlec Regional Medical Center | $515 – $960 | — | — |
| Mary Bridge Children's Hospital | $295 – $2,509 | — | — |
| MultiCare Auburn Medical Center | $286 – $1,477 | — | — |
| MultiCare Covington Medical Center | $286 – $1,477 | — | — |
| MultiCare Good Samaritan Hospital | $332 – $1,477 | — | — |
| MultiCare Valley Hospital | $327 – $1,419 | — | — |
| Overlake Hospital Medical Center & Clinics | $313 – $940 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $529 – $1,134 | — | — |
| Providence Centralia Hospital | $578 – $1,278 | — | — |
| Providence Regional Medical Center Everett | $410 – $793 | — | — |
| Providence St Peter Hospital | $291 – $1,116 | — | — |
| Swedish Edmonds Hospital | $513 – $1,254 | — | — |
| Swedish Issaquah | $513 – $759 | — | — |
| Swedish Medical Center | $513 – $1,221 | — | — |
| Swedish Medical Center / Cherry Hill | $513 – $1,221 | — | — |
| Tacoma General Allenmore Hospital | $286 – $1,477 | — | — |
| University of Washington Medical Ctr | $547 – $1,072 | $528 | $754 |
| Virginia Mason Medical Center | $327 – $1,189 | — | — |
| Wellfound Behavioral Health Hospital | $863 | — | — |
| Yakima Valley Memorial | $295 – $887 | — | — |
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
- $342 (fee)