HCPCS L2200
Addition to lower extremity, limited ankle motion, each joint
Current codeBelow Knee Orthotic24 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $71.38 – $78.52 | $37.20 | $93.00 |
| Deaconess Medical Center | $71.38 – $78.52 | $37.20 | $93.00 |
| Harborview Medical Center | $72.84 – $80.12 | $87.96 – $89.23 | $126 – $127 |
| Kadlec Regional Medical Center | $72.84 – $87.41 | — | — |
| Mary Bridge Children's Hospital | $71.38 – $78.52 | $37.20 | $93.00 |
| MultiCare Auburn Medical Center | $71.38 – $78.52 | $37.20 | $93.00 |
| MultiCare Covington Medical Center | $71.38 – $78.52 | $37.20 | $93.00 |
| MultiCare Good Samaritan Hospital | $71.38 – $78.52 | $37.20 | $93.00 |
| MultiCare Valley Hospital | $73.52 – $78.52 | $37.20 | $93.00 |
| Overlake Hospital Medical Center & Clinics | $72.84 – $75.75 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $72.84 – $87.41 | — | — |
| Providence Centralia Hospital | $72.84 – $117 | — | — |
| Providence Regional Medical Center Everett | $72.84 – $80.12 | — | — |
| Providence St Peter Hospital | $72.84 – $117 | — | — |
| Seattle Children's Hospital | — | $313 | $313 |
| Swedish Edmonds Hospital | $72.84 – $87.41 | — | — |
| Swedish Issaquah | $72.84 – $87.41 | $30.24 | $63.00 |
| Swedish Medical Center | $72.84 – $87.41 | $30.24 | $63.00 |
| Swedish Medical Center / Cherry Hill | $72.84 – $87.41 | $30.24 | $63.00 |
| Tacoma General Allenmore Hospital | $71.38 – $78.52 | $37.20 | $93.00 |
| University of Washington Medical Ctr | $72.84 – $80.12 | $125 | $178 |
| Virginia Mason Medical Center | $49.99 – $74.98 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $71.38 – $79.95 | — | — |
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)