HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS L2200 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$37.20$93.00
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$37.20$93.00
Harborview Medical CenterSeattleFile dated 2026-04-01—$87.96 – $89.23$126 – $127
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$37.20$93.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$37.20$93.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$37.20$93.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$37.20$93.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$37.20$93.00
Seattle Children's HospitalSeattle$80.45 – $10212 plans$313$313
Swedish IssaquahIssaquahFile dated 2026-04-01—$30.24$63.00
Swedish Medical CenterSeattleFile dated 2026-04-01—$30.24$63.00
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$30.24$63.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$37.20$93.00
University of Washington Medical CtrSeattleFile dated 2026-04-01—$125$178

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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
$72.84 (fee)