HCPCS L1980

Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated

Current codeBelow Knee Orthotic23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L1980 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$529 – $5816 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$529 – $5818 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$539 – $5935 plans$661$944
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$539 – $6477 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$529 – $5817 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$529 – $5817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$529 – $5817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$529 – $5817 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$544 – $5817 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$539 – $5613 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$539 – $6477 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$539 – $8637 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$539 – $5936 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$539 – $8637 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$539 – $6478 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$539 – $6478 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$539 – $6478 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$539 – $6478 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$529 – $5817 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$539 – $5935 plans——
Virginia Mason Medical CenterSeattle$370 – $5559 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$529 – $5928 plans——

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
$539 (fee)