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Every billing code / Equipment and supplies / Orthotic Devices

HCPCS L1930

Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment

Current codeBelow Knee Orthotic36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$162 – $675$405 – $1,687
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$162 – $675$405 – $1,687
Harborview Medical CenterSeattleFile dated 2026-04-01—$385 – $389$549 – $556
Highline Medical CenterBurienFile dated 2026-02-28—$42.32 – $106$139 – $348
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$471$673
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$162 – $675$405 – $1,687
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$162 – $675$405 – $1,687
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$162 – $675$405 – $1,687
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$162 – $675$405 – $1,687
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$162 – $675$405 – $1,687
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth St Joseph Medical CenterBellingham—$215$330
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$661$945
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$701$1,347
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$661$945
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$626$895
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$775$1,491
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$626$895
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$545$778
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$701$1,347
Seattle Children's HospitalSeattle$66.93 – $2021 plan$266 – $800$266 – $800
St Anthony HospitalGig HarborFile dated 2026-02-28—$42.15 – $106$139 – $348
St Clare HospitalLakewoodFile dated 2026-02-28—$39.94 – $100$139 – $348
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$48.97 – $123$139 – $348
St Francis Community HospitalFederal WayFile dated 2026-02-28—$43.49 – $109$139 – $348
St Joseph Medical CenterTacomaFile dated 2026-02-28—$45.90 – $115$139 – $348
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$61.16 – $154$139 – $348
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$66.65 – $480$139 – $1,000
Swedish IssaquahIssaquahFile dated 2026-04-01—$66.65 – $480$139 – $1,000
Swedish Medical CenterSeattleFile dated 2026-04-01—$66.65 – $480$139 – $1,000
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$66.65 – $480$139 – $1,000
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$162 – $675$405 – $1,687
University of Washington Medical CtrSeattleFile dated 2026-04-01—$522 – $533$746 – $762
Virginia Mason Medical CenterSeattle———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27—$181 – $454$453 – $1,134

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
$317 (fee)