HCPCS L2112

Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment

Current codeBelow Knee Orthotic24 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 L2112 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$545 – $5996 plans$283$708
Deaconess Medical CenterSpokaneFile dated 2026-08-27$545 – $5998 plans$283$708
Harborview Medical CenterSeattleFile dated 2026-04-01$556 – $6115 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$556 – $6677 plans$133$189
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$545 – $5997 plans$283$708
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$545 – $5997 plans$283$708
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$545 – $5997 plans$283$708
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$545 – $5997 plans$283$708
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$561 – $5997 plans$283$708
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$556 – $5783 plans——
PeaceHealth Southwest Medical CenteVancouver$556 – $63913 plans$642$988
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$556 – $6677 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$556 – $8897 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$556 – $6116 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$556 – $8897 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$556 – $6678 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$556 – $6678 plans$737$1,536
Swedish Medical CenterSeattleFile dated 2026-04-01$556 – $6678 plans$737$1,536
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$556 – $6678 plans$737$1,536
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$545 – $5997 plans$283$708
University of Washington Medical CtrSeattleFile dated 2026-04-01$556 – $6115 plans——
Virginia Mason Medical CenterSeattle$381 – $5729 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$545 – $6108 plans$283$708

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
$556 (fee)