HCPCS L1907

Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated

Current codeBelow Knee Orthotic24 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.

Prices for HCPCS L1907 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$688 – $7312 plans$344$860
Deaconess Medical CenterSpokaneFile dated 2026-08-27$611 – $6282 plans$344$860
Harborview Medical CenterSeattleFile dated 2026-04-01—$814 – $827$1,163 – $1,181
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$562 – $6886 plans$344$860
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$507 – $6283 plans$344$860
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$507 – $6283 plans$344$860
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$507 – $6283 plans$344$860
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$6192 plans$344$860
Seattle Children's HospitalSeattle$1,225 – $2,17898 plans$2,269$2,269
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$507 – $6283 plans$344$860
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,098$1,569

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
$675 (fee)