HCPCS L2114
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment
Current codeBelow Knee Orthotic35 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $695 – $739 | $348 | $869 |
| Deaconess Medical Center | $617 – $634 | $348 | $869 |
| Harborview Medical Center | — | $836 | $1,194 |
| Highline Medical Center | $63.61 – $149 | $45.18 – $50.60 | $148 – $166 |
| Legacy Salmon Creek Medical Center | — | $127 | $196 |
| Mary Bridge Children's Hospital | $568 – $695 | $348 | $869 |
| MultiCare Auburn Medical Center | $513 – $634 | $348 | $869 |
| MultiCare Covington Medical Center | $513 – $634 | $348 | $869 |
| MultiCare Good Samaritan Hospital | $513 – $634 | $348 | $869 |
| MultiCare Valley Hospital | $626 | $348 | $869 |
| Seattle Children's Hospital | $373 – $664 | $691 | $691 |
| St Anthony Hospital | $81.37 – $124 | $45.00 – $50.40 | $148 – $166 |
| St Clare Hospital | $81.37 – $124 | $42.64 – $47.76 | $148 – $166 |
| St Elizabeth Hospital | $59.18 – $149 | $52.28 – $58.55 | $148 – $166 |
| St Francis Community Hospital | $81.37 – $124 | $46.43 – $52.00 | $148 – $166 |
| St Joseph Medical Center | $81.37 – $124 | $49.00 – $54.88 | $148 – $166 |
| St Michael Medical Center | $93.20 – $149 | $65.29 – $73.13 | $148 – $166 |
| Tacoma General Allenmore Hospital | $513 – $634 | $348 | $869 |
| University of Washington Medical Ctr | — | $1,055 | $1,508 |
| Yakima Valley Memorial | $487 | $348 | $869 |
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
- $682 (fee)