HCPCS L1906

Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS L1906 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$70.40$176
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$70.40$176
Harborview Medical CenterSeattleFile dated 2026-04-01—$119 – $121$170 – $173
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$70.40$176
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$70.40$176
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$70.40$176
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$70.40$176
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$70.40$176
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Seattle Children's HospitalSeattle$12.72 – $16.0912 plans$49.50$49.50
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$239$498
Swedish IssaquahIssaquahFile dated 2026-04-01—$209 – $239$436 – $498
Swedish Medical CenterSeattleFile dated 2026-04-01—$209 – $239$436 – $498
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$209 – $239$436 – $498
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$70.40$176
University of Washington Medical CtrSeattleFile dated 2026-04-01—$214$305
Virginia Mason Medical CenterSeattle———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27—$70.40$176

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
$138 (fee)