HCPCS L1930
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment
Current codeBelow Knee Orthotic36 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 | $311 – $342 | $162 – $675 | $405 – $1,687 |
| Deaconess Medical Center | $311 – $342 | $162 – $675 | $405 – $1,687 |
| Harborview Medical Center | $317 – $349 | $385 – $389 | $549 – $556 |
| Highline Medical Center | — | $42.32 – $106 | $139 – $348 |
| Kadlec Regional Medical Center | $317 – $381 | $471 | $673 |
| Mary Bridge Children's Hospital | $311 – $342 | $162 – $675 | $405 – $1,687 |
| MultiCare Auburn Medical Center | $311 – $342 | $162 – $675 | $405 – $1,687 |
| MultiCare Covington Medical Center | $311 – $342 | $162 – $675 | $405 – $1,687 |
| MultiCare Good Samaritan Hospital | $311 – $342 | $162 – $675 | $405 – $1,687 |
| MultiCare Valley Hospital | $320 – $342 | $162 – $675 | $405 – $1,687 |
| Overlake Hospital Medical Center & Clinics | $317 – $330 | — | — |
| PeaceHealth St Joseph Medical Center | $317 – $349 | $215 | $330 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $317 – $381 | $661 | $945 |
| Providence Centralia Hospital | $317 – $508 | $701 | $1,347 |
| Providence Holy Family Hospital | — | $661 | $945 |
| Providence Mount Carmel Hospital | — | $626 | $895 |
| Providence Regional Medical Center Everett | $317 – $349 | $775 | $1,491 |
| Providence St Joseph Hospital | — | $626 | $895 |
| Providence St Mary Medical Center | — | $545 | $778 |
| Providence St Peter Hospital | $317 – $508 | $701 | $1,347 |
| Seattle Children's Hospital | — | $266 – $800 | $266 – $800 |
| St Anthony Hospital | — | $42.15 – $106 | $139 – $348 |
| St Clare Hospital | — | $39.94 – $100 | $139 – $348 |
| St Elizabeth Hospital | $24.95 – $76.59 | $48.97 – $123 | $139 – $348 |
| St Francis Community Hospital | — | $43.49 – $109 | $139 – $348 |
| St Joseph Medical Center | — | $45.90 – $115 | $139 – $348 |
| St Michael Medical Center | — | $61.16 – $154 | $139 – $348 |
| Swedish Edmonds Hospital | $317 – $381 | $66.65 – $480 | $139 – $1,000 |
| Swedish Issaquah | $317 – $381 | $66.65 – $480 | $139 – $1,000 |
| Swedish Medical Center | $317 – $381 | $66.65 – $480 | $139 – $1,000 |
| Swedish Medical Center / Cherry Hill | $317 – $381 | $66.65 – $480 | $139 – $1,000 |
| Tacoma General Allenmore Hospital | $311 – $342 | $162 – $675 | $405 – $1,687 |
| University of Washington Medical Ctr | $317 – $349 | $522 – $533 | $746 – $762 |
| Virginia Mason Medical Center | $218 – $327 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $311 – $348 | $181 – $454 | $453 – $1,134 |
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)