HCPCS L2040

Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Current code24 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 L2040 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$226 – $1,75619 plans$134$335
Deaconess Medical CenterSpokaneFile dated 2026-08-27$124 – $1,09316 plans$134$335
Harborview Medical CenterSeattleFile dated 2026-04-01$420 – $5252 plans$322$459
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$396 – $7385 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$216 – $1,92718 plans$134$335
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$220 – $1,13420 plans$134$335
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$220 – $1,13420 plans$134$335
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$220 – $1,13420 plans$134$335
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$124 – $1,09016 plans$134$335
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$241 – $72210 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$407 – $8719 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$444 – $9825 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$315 – $6097 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$223 – $8578 plans——
Seattle Children's HospitalSeattle$269 – $47898 plans$498$498
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$394 – $9637 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$394 – $5837 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$394 – $9389 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$394 – $9389 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$220 – $1,13420 plans$134$335
University of Washington Medical CtrSeattleFile dated 2026-04-01$420 – $8235 plans——
Virginia Mason Medical CenterSeattle$251 – $9137 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$6631 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$226 – $68113 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
$263 (fee)