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
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 | $598 – $658 | $311 | $778 |
| Deaconess Medical Center | $598 – $658 | $311 | $778 |
| Harborview Medical Center | $611 – $672 | $737 – $748 | $1,053 – $1,068 |
| Kadlec Regional Medical Center | $611 – $733 | — | — |
| Mary Bridge Children's Hospital | $598 – $658 | $311 | $778 |
| MultiCare Auburn Medical Center | $598 – $658 | $311 | $778 |
| MultiCare Covington Medical Center | $598 – $658 | $311 | $778 |
| MultiCare Good Samaritan Hospital | $598 – $658 | $311 | $778 |
| MultiCare Valley Hospital | $616 – $658 | $311 | $778 |
| Overlake Hospital Medical Center & Clinics | $611 – $635 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $611 – $733 | $1,247 | $1,781 |
| Providence Centralia Hospital | $611 – $977 | — | — |
| Providence Regional Medical Center Everett | $611 – $672 | — | — |
| Providence St Peter Hospital | $611 – $977 | — | — |
| Seattle Children's Hospital | — | $2,297 | $2,297 |
| Swedish Edmonds Hospital | $611 – $733 | $758 | $1,579 |
| Swedish Issaquah | $611 – $733 | $758 | $1,579 |
| Swedish Medical Center | $611 – $733 | $758 | $1,579 |
| Swedish Medical Center / Cherry Hill | $611 – $733 | $758 | $1,579 |
| Tacoma General Allenmore Hospital | $598 – $658 | $311 | $778 |
| University of Washington Medical Ctr | $611 – $672 | $987 | $1,409 |
| Virginia Mason Medical Center | $419 – $628 | $1,162 | $2,279 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $598 – $670 | — | — |
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)