HCPCS L1907
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated
Current codeBelow Knee Orthotic24 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $661 – $728 | $344 | $860 |
| Deaconess Medical Center | $661 – $728 | $344 | $860 |
| Harborview Medical Center | $675 – $742 | $814 – $827 | $1,163 – $1,181 |
| Kadlec Regional Medical Center | $675 – $810 | — | — |
| Mary Bridge Children's Hospital | $661 – $728 | $344 | $860 |
| MultiCare Auburn Medical Center | $661 – $728 | $344 | $860 |
| MultiCare Covington Medical Center | $661 – $728 | $344 | $860 |
| MultiCare Good Samaritan Hospital | $661 – $728 | $344 | $860 |
| MultiCare Valley Hospital | $681 – $728 | $344 | $860 |
| Overlake Hospital Medical Center & Clinics | $675 – $702 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $675 – $810 | — | — |
| Providence Centralia Hospital | $675 – $1,080 | — | — |
| Providence Regional Medical Center Everett | $675 – $742 | — | — |
| Providence St Peter Hospital | $675 – $1,080 | — | — |
| Seattle Children's Hospital | — | $2,269 | $2,269 |
| Swedish Edmonds Hospital | $675 – $810 | — | — |
| Swedish Issaquah | $675 – $810 | — | — |
| Swedish Medical Center | $675 – $810 | — | — |
| Swedish Medical Center / Cherry Hill | $675 – $810 | — | — |
| Tacoma General Allenmore Hospital | $661 – $728 | $344 | $860 |
| University of Washington Medical Ctr | $675 – $742 | $1,098 | $1,569 |
| Virginia Mason Medical Center | $463 – $695 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $661 – $741 | — | — |
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)