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

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

Prices for HCPCS L1906 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$135 – $1496 plans$70.40$176
Deaconess Medical CenterSpokaneFile dated 2026-08-27$135 – $1498 plans$70.40$176
Harborview Medical CenterSeattleFile dated 2026-04-01$138 – $1525 plans$119 – $121$170 – $173
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$138 – $1667 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$135 – $1497 plans$70.40$176
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$135 – $1497 plans$70.40$176
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$135 – $1497 plans$70.40$176
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$135 – $1497 plans$70.40$176
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$140 – $1497 plans$70.40$176
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$138 – $1443 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$138 – $1667 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$138 – $2217 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$138 – $1526 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$138 – $2217 plans——
Seattle Children's HospitalSeattle—$49.50$49.50
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$138 – $1668 plans$239$498
Swedish IssaquahIssaquahFile dated 2026-04-01$138 – $1668 plans$209 – $239$436 – $498
Swedish Medical CenterSeattleFile dated 2026-04-01$138 – $1668 plans$209 – $239$436 – $498
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$138 – $1668 plans$209 – $239$436 – $498
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$135 – $1497 plans$70.40$176
University of Washington Medical CtrSeattleFile dated 2026-04-01$138 – $1525 plans$214$305
Virginia Mason Medical CenterSeattle$94.84 – $1429 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$135 – $1528 plans$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)