HCPCS L1971

Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Current codeBelow Knee Orthotic23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L1971 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$484 – $3,75919 plans$287$717
Deaconess Medical CenterSpokaneFile dated 2026-08-27$266 – $2,34016 plans$287$717
Harborview Medical CenterSeattleFile dated 2026-04-01$900 – $1,1242 plans$678 – $689$969 – $984
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$848 – $1,5795 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$463 – $4,12618 plans$287$717
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$471 – $2,42920 plans$287$717
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$471 – $2,42920 plans$287$717
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$471 – $2,42920 plans$287$717
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$266 – $2,33516 plans$287$717
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$516 – $1,54710 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$871 – $1,8659 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$950 – $2,1025 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$675 – $1,3047 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$478 – $1,8368 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$843 – $2,0627 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$843 – $1,2487 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$843 – $2,0089 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$843 – $2,0089 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$471 – $2,42920 plans$287$717
University of Washington Medical CtrSeattleFile dated 2026-04-01$900 – $1,7635 plans$860$1,228
Virginia Mason Medical CenterSeattle$538 – $1,9557 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,4191 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$351 – $1,45919 plans$287$717

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
$562 (fee)