HCPCS L1940
Ankle foot orthosis, plastic or other material, custom fabricated
Current codeBelow Knee Orthotic24 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $311 | $778 |
| Deaconess Medical Center | — | $311 | $778 |
| Harborview Medical Center | — | $737 – $748 | $1,053 – $1,068 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $311 | $778 |
| MultiCare Auburn Medical Center | — | $311 | $778 |
| MultiCare Covington Medical Center | — | $311 | $778 |
| MultiCare Good Samaritan Hospital | — | $311 | $778 |
| MultiCare Valley Hospital | — | $311 | $778 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,247 | $1,781 |
| Providence Centralia Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $579 | $2,297 | $2,297 |
| Swedish Edmonds Hospital | — | $758 | $1,579 |
| Swedish Issaquah | — | $758 | $1,579 |
| Swedish Medical Center | — | $758 | $1,579 |
| Swedish Medical Center / Cherry Hill | — | $758 | $1,579 |
| Tacoma General Allenmore Hospital | — | $311 | $778 |
| University of Washington Medical Ctr | — | $987 | $1,409 |
| Virginia Mason Medical Center | — | $1,162 | $2,279 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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
- $611 (fee)
How hospitals also write this code
Some price files write it differently. These are counted as HCPCS L1940:
- 20L1940 (with a number in front; 13 price lines)